Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cameron J Wychanko, PA-C

Individual provider Physician Assistant · NPI 1659004869

Cameron J Wychanko, PA-C is a Physician Assistant in Boise, Idaho. Works from 5 locations. Licensed in Idaho.

Licensed in
ID
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9292 W Barnes Dr
Boise, ID 83709-1554
Phone: (208) 795-3515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 6600 W Emerald St, Boise, ID 83704-8738 — (208) 609-9020
  • 7941 W Rifleman St, Boise, ID 83704-9001 — (208) 895-7950
  • 2335 E State Ave, Meridian, ID 83642-8808 — (208) 672-1801
  • 847 Parkcentre Way Ste 7, Nampa, ID 83651-1794 — (208) 229-6050

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2439 (ID)

Record details

NPI number1659004869
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 5, 2022
Last updated in NPPESFebruary 21, 2023
Certification dateFebruary 21, 2023

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