Individual provider · Type 1 NPI

Elysha Katharina Wiest, PAC

Medical Physician Assistant · Portland, OR

NPI number 1225459183 Active

Practice location

9155 SW Barnes Rd, Suite 440
Portland, OR 97225-6625

Call (503) 935-8500 Map

Fax (503) 935-8505

Mailing address

847 NE 19th Ave, Suite 300
Portland, OR 97232-2684

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA165833 (OR)

Medical Physician Assistant: Definition to come...

131 other providers at this address

Other medical physician assistant providers in Portland

See all in Portland →

About NPI 1225459183

Elysha Katharina Wiest, PAC's National Provider Identifier is 1225459183, issued on Dec 19, 2013. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Mar 10, 2014.