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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERRA BAHE WISSBAUM, PA

Active

TERRA BAHE WISSBAUM, PA is a Medical Physician Assistant healthcare provider located in BEND, Oregon. NPI 1801178215 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · BEND, OR

Registration Details

NPI Number
1801178215
Provider Type
Individual
Gender
Female
NPI Issued
Sep 12, 2011 (14.904971640052 yrs)
Last Updated
Apr 22, 2020
Licenses
2359 (WI)
PA180742 (OR)

Practice Information

Address
2500 NE NEFF RD
BEND, OR, 977016015
Browse OR providers · Browse ZIP 97701
Phone
5413824321
Fax
5417067068
Primary Specialty
Medical Physician Assistant
363AM0700X
Additional Specialty
Medical Physician Assistant

Other Medical Physician Assistant Providers in BEND, OR

Name Credential NPI
MS. AMY GOULEY SNOW PA 1215912712
MR. DOUGLAS A THOMAS P.A. 1497799555
MR. JOEL MYERS PA C 1073540969
DANIEL MONTOYA PA-C 1659399939
MRS. JAMIE JANELLE FREEMAN PAC 1396753257
STEVEN RANDALL KING PA-C 1992715924
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.