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Nicole Dianne Wydra, PA-C
Physician Assistant in Corvallis, Oregon
NPI 1962514836

Nicole Dianne Wydra is a Physician Assistant based in Corvallis, OR. Nicole Dianne Wydra practices in Corvallis, OR and has the professional credentials of PA-C. The NPI Number for Nicole Dianne Wydra is 1962514836 and holds a License No. PA153450 (Oregon).

The current practice location address for Nicole Dianne Wydra is 1740 Nw 9Th St, Corvallis, OR and can be reached out via phone at 541-230-1350 and via fax at 541-207-3477.

Location: 1740 Nw 9Th St, Corvallis, OR, 97330-2141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962514836
Provider Name
Nicole Dianne Wydra
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1740 Nw 9Th St, Corvallis, OR, 97330-2141
Phone Number
541-230-1350
Fax Number
541-207-3477
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500617735 05 OR
institution
Provider Business Practice Location Address Details
Address
1740 Nw 9Th St
City
Corvallis
State
Oregon
Zip
97330-2141
Phone Number
541-230-1350
Fax Number
541-207-3477
person
Provider Business Mailing Address Details
Address
1740 Nw 9Th St
City
Corvallis
State
Oregon
Zip
97330-2141
Phone Number
541-230-1350
Fax Number
541-207-3477
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
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Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA153450 (Oregon)
Definition
Definition to come...
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