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

Dr. Audra Luz Kathleena Wisham, MD

Individual provider Emergency Medicine Physician · NPI 1477961308

Dr. Audra Luz Kathleena Wisham, MD is an Emergency Medicine in Newport, Oregon. Graduated from Loma Linda University School of Medicine in 2014, 12 years ago. Practices with Confederated Tribes of Siletz, an 11-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
12
Trained at
Loma Linda University School of Medicine
Licensed in
OR
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

930 SW Abbey St
Newport, OR 97365-4820
Phone: (541) 265-2244
Fax: (541) 574-1838
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD182496 (OR)

Record details

NPI number1477961308
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 23, 2014
Last updated in NPPESNovember 2, 2020
Certification dateNovember 2, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Confederated Tribes Of Siletz — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Newport