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Elysha Katharina Wiest, PAC
Medical Physician Assistant in Portland, Oregon
NPI 1225459183

Elysha Katharina Wiest is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Elysha Katharina Wiest practices in Portland, OR and has the professional credentials of PAC. The NPI Number for Elysha Katharina Wiest is 1225459183 and holds a License No. PA165833 (Oregon).

The current practice location address for Elysha Katharina Wiest is 9155 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-935-8500 and via fax at 503-935-8505.

Location: 9155 Sw Barnes Rd, Portland, OR, 97232-2684
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Provider Profile Details
NPI Number
1225459183
Provider Name
Elysha Katharina Wiest
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
9155 Sw Barnes Rd, Portland, OR, 97232-2684
Phone Number
503-935-8500
Fax Number
503-935-8505
Provider Enumeration Date
12/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1225459183 05 WA
500666575 05 OR
institution
Provider Business Practice Location Address Details
Address
9155 Sw Barnes Rd
City
State
Zip
97225-6625
Phone Number
503-935-8500
Fax Number
503-935-8505
person
Provider Business Mailing Address Details
Address
9155 Sw Barnes Rd
City
State
Zip
97225-6625
Phone Number
503-935-8500
Fax Number
503-935-8505
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA165833 (Oregon)
Definition
Definition to come...
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