Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. THERESA JAINN BIDWELL, FNP/PA-C
ActiveMS. THERESA JAINN BIDWELL, FNP/PA-C is a Medical Physician Assistant healthcare provider located in WHITE CITY, Oregon. NPI 1114966819 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WHITE CITY, OR
Registration Details
- NPI Number
- 1114966819
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 6, 2006 (20.164393072104 yrs)
- Last Updated
- Jan 23, 2017
- Licenses
-
PA00451 (OR)392031 (CA)
Practice Information
- Address
-
8495 CRATER LAKE HWY118-GVWHITE CITY, OR, 975033011Browse OR providers · Browse ZIP 97503
- Phone
- 5418262111
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Family Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.