Jenny Wilson, M.D.
Jenny Wilson, M.D. is a Neurology with Special Qualifications in Child Neurology Physician in Portland, OR, registered under NPI 1205094406.
Getting there
The practice address on file is 707 SW GAINES ST, Portland, OR 97239. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| MD162292 | OR | Neurology with Special Qualifications in… primary |
| MD441944 | PA | Neurology with Special Qualifications in… |
Licences are recorded in 2 states: OR, PA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Pediatric Medicine
- PAC ID
- 3971744129
- Enrollment ID
- I20130730000887
Medicare enrolment is recorded as approved under the provider type Practitioner - Pediatric Medicine. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Oregon and Pennsylvania. The practice address on file is in Portland, OR, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- MD162292
- Specialty
- Neurology with Special Qualifications…
- Licence
- MD441944
- Specialty
- Neurology with Special Qualifications…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Neurology with Special Qualifications in Child Neurology covers
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. NUCC Health Care Provider Taxonomy, code 2084N0402X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician Neurology with Special Qualifications in Child Neurology | MD162292 | OR | primary |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician Neurology with Special Qualifications in Child Neurology | MD441944 | PA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1205094406 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 26, 2008 |
| Last updated | May 21, 2013 |
| Status | Active |
| Sole proprietor | No |
| Credential | M.D. |
| Practice address |
707 SW GAINES ST Portland, OR 97239 (503) 494-9113 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 0 | 5 | 0 | 9 | 4 | 4 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 0 | 5 | 0 | 9 | 8 | 4 | 0 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.