Individual provider · Type 1 NPI
Wendy Waibel, FNP
Family Nurse Practitioner · Gresham, OR
NPI number
1104437011
Active
Practice location
21015 SE Stark St
Gresham, OR 97030-2015
Fax (503) 669-6163
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 202214629NP-PP (OR) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104437011
Wendy Waibel, FNP's National Provider Identifier is 1104437011, issued on Aug 13, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gresham, OR. The record was last updated on Oct 17, 2025.