Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON DANIEL WISTER, M.D.
Active Sole ProprietorDR. JASON DANIEL WISTER, M.D. is a Pediatrics healthcare provider located in VANCOUVER, Washington. NPI 1598977209 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · VANCOUVER, WA
Registration Details
- NPI Number
- 1598977209
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2007 (19.235556109557 yrs)
- Last Updated
- Sep 6, 2012
- Licenses
-
390200000X (CA)MD60299588 (WA)MD157697 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 NORTHEAST MOTHER JOSEPH PLACEVANCOUVER, WA, 98664Browse WA providers · Browse ZIP 98664
- Phone
- 3602562000
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Neonatal-Perinatal Medicine
- Additional Specialty
- Neonatal-Perinatal Medicine
Other Pediatrics Providers in VANCOUVER, WA
| Name | Credential | NPI |
|---|---|---|
| JEAN MARIE HAGGERTY | MD | 1194704445 |
| MELISSA C WEDDLE | MD MPH | 1205803475 |
| MR. JOHNNY WEI-TING SUN | M.D. | 1295703882 |
| CALVIN K CHEN | MD | 1831168111 |
| DR. NATALYA N. NADAL | M.D. | 1952364846 |
| KAREN WENDI SHARPE | MD | 1396702759 |
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.