Individual
JIE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3499
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47401
WI
207Q00000X
Family Medicine Physician
Primary
MD150056
OR
207Q00000X
Family Medicine Physician
MD60651584
WA
Other
Enumeration date
03/17/2006
Last updated
03/11/2026
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