RUSSELL MATTHEW WIMMER

LEBANON, OR
NPI1912472143
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA189087)
Enumeration Date2018-10-03
Last Update Date2020-11-04
Business Address
Mr. RUSSELL MATTHEW WIMMER PA-C
425 N SANTIAM HWY
LEBANON, OR 97355-4361
Phone number: 541-451-6960
Mailing Address
Mr. RUSSELL MATTHEW WIMMER PA-C
PO BOX 1193
CORVALLIS, OR 97339-1193
Phone number:
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