Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Wilson Real, RN, BSN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1629792239

Wilson Real, RN, BSN is a Nurse Practitioner in Portland, Oregon. Qualified in 2023, 3 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
3
Licensed in
OR, WA
In the registry since
2022
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

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Practice location Address checks out

3550 N Interstate Ave
Portland, OR 97227
Phone: (503) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10023691 (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61535948 (WA)

Record details

NPI number1629792239
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , BSN
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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