Individual provider · Type 1 NPI

Oliver Jayme Wisco, DO

MOHS-Micrographic Surgery Physician · Bend, OR

NPI number 1164545166 Active

Practice location

Dermatology Health Spcecialist, 1693 SW Chandler Ave Suite 250
Bend, OR 97702-3231

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Other practice locations

  • 593 Eddy St APC-10, Providence, RI 02903-4923 · (401) 444-7959
  • 375 Wampanoag Trl Ste 401, Riverside, RI 02915-2237 · (401) 444-7959
  • 65 Village Square Dr Ste 201, South Kingstown, RI 02879-2569 · (401) 444-7959
  • 400 Bald Hill Rd, Warwick, RI 02886-1617 · (401) 444-7959

Specialties and licenses

TaxonomyCodeLicense
MOHS-Micrographic Surgery Physician 207ND0101XDO157812 (OR)
MOHS-Micrographic Surgery Physician Primary 207ND0101XDO01032 (RI)

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

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About NPI 1164545166

Oliver Jayme Wisco, DO's National Provider Identifier is 1164545166, issued on Apr 6, 2007. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Bend, OR. The record was last updated on Dec 19, 2025.