Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARISA JANE WICKERATH, MD
ActiveDR. MARISA JANE WICKERATH, MD is a Family Medicine healthcare provider located in FOREST GROVE, Oregon. NPI 1962088641 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · FOREST GROVE, OR
Registration Details
- NPI Number
- 1962088641
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 22, 2021 (5.3976100545254 yrs)
- Last Updated
- Oct 23, 2024
- Licenses
-
MD221260 (OR)MD61556041 (WA)
Practice Information
- Address
-
1825 MAPLE STFOREST GROVE, OR, 971161939Browse OR providers · Browse ZIP 97116
- Phone
- 5033572136
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Emergency Medicine
Other Family Medicine Providers in FOREST GROVE, OR
| Name | Credential | NPI |
|---|---|---|
| DR. TIMOTHY J. GRAY SR. | D.O. | 1003810441 |
| DR. TIMOTHY J. GRAY II | D.O. | 1699770057 |
| DR. SEAN LINCOLN STEWARD | MD | 1689650624 |
| MARILYN J BOOTH | M.D. | 1225057011 |
| ROGER REYNOLDS | D.O. | 1689682254 |
| SHERIDAN THIRINGER | D.O. | 1003824681 |
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.