Individual provider · Type 1 NPI

Heather Renae Wetch, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1922581271 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098

Mailing address

17013 NW Johnson Rd
Hillsboro, OR 97124-9216

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X10975813-1206 (UT)
Medical Physician Assistant Primary 363AM0700XPA204085 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1922581271

Heather Renae Wetch, PA-C's National Provider Identifier is 1922581271, issued on Sep 12, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Oct 13, 2021.