Individual provider · Type 1 NPI

Angela Wynia, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1881939288 Active

Practice location

5330 NE Glisan St, Suite 100
Portland, OR 97213-3069

Call (503) 215-9700 Map

Fax (503) 215-9701

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA160417 (OR)
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1881939288

Angela Wynia, PA-C's National Provider Identifier is 1881939288, issued on Dec 11, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Dec 29, 2020.