Dr. Marisa Jane Wickerath, MD
Dr. Marisa Jane Wickerath, MD is a Family Practice in Forest Grove, Oregon. Graduated from University of Washington School of Medicine in 2021, 5 years ago. Practices with Tuality Medical Group LLC, a 289-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.
- Years since qualifying
- 5
- Trained at
- University of Washington School of Medicine
- Licensed in
- OR, WA
- In the registry since
- 2021
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1825 Maple StForest Grove, OR 97116-1939
Phone: (503) 357-2136
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 310 S Roosevelt St, Goldendale, WA 98620-9201 — (509) 773-4022
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence MD221260 (OR) |
|---|---|
| Emergency Medicine Physician | Taxonomy 207P00000X · Licence MD61556041 (WA) |
Record details
| NPI number | 1962088641 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | March 22, 2021 |
| Last updated in NPPES | October 23, 2024 |
| Certification date | October 23, 2024 |
| Mailing address | 1400 Sw 5th Ave Ste 500, Portland, OR 97201-5537 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
| Graduated | 2021 (5 years in practice) |
| Group practice | Tuality Medical Group Llc — 289 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Other providers in Forest Grove
-
Roger Reynolds, DO
1825 Maple St, Forest Grove, OR 97116-1939 · (503) 357-2136
-
Dr. Sean Lincoln Steward, MD
3838 Pacific Ave, Forest Grove, OR 97116-2224 · (503) 992-0288
-
Sheridan Thiringer, DO
1825 Maple St, Forest Grove, OR 97116-1939 · (503) 357-2136
-
Timothy J Gray DO LLC
1909 Mountain View Ln #200, Forest Grove, OR 97116-2893 · (503) 359-4773