Wise, Heidi Lynn

Wise, Heidi Lynn is an individual health care provider with primary practice located at 850 Sw 26Th St , Corvallis OR 97331-8624. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wise, Heidi Lynn can be contacted via phone (541) 737-9355.

Contact Information

Primary practice address
850 Sw 26Th St Corvallis OR 97331-8624
Phone: (541) 737-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2000001491
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA184479 Oregon

Profile Details

NPI number 1689195414
LBN Legal business name Wise, Heidi Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2017
Last updated Jan 11th, 2024 - about 11 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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