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Search › Oregon › Medical Physician Assistant

Nicole Wydra, PA-C

NPI 1962514836 · on the registry since 2006

Practice

Address
1740 Nw 9th St
Corvallis, OR 97330
Phone
(541) 230-1350
Fax
(541) 207-3477
Organisation at this address
Brune Dermatology, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Also registered as
Physician Assistant
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon