HEIDI LYNN WISE

CORVALLIS, OR
NPI1689195414
Former NameHEIDI LYNN THRAMER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA184479)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence:   2000001491)
Enumeration Date2017-07-01
Last Update Date2024-01-11
Business Address
HEIDI LYNN WISE
850 SW 26TH ST
CORVALLIS, OR 97331-8624
Phone number: 541-737-9355
Mailing Address
HEIDI LYNN WISE
3495 BERGMAN PL SE
SALEM, OR 97317-9384
Phone number: