Individual provider · Type 1 NPI

Theresa Jainn Bidwell, FNP/PA-C

Medical Physician Assistant · White City, OR

NPI number 1114966819 Active

About NPI 1114966819

Theresa Jainn Bidwell, FNP/PA-C's National Provider Identifier is 1114966819, issued on Jun 6, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in White City, OR. The record was last updated on Jan 23, 2017.