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

Emily Renee Wittenberg

Individual provider Registered Nurse · NPI 1720797657

Emily Renee Wittenberg is a Nurse Practitioner in Ontario, Oregon. Qualified in 2022, 4 years ago. Practices with Lifeways Inc, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2022
Specialties on file
4

Practice location Address checks out

702 Sunset Dr
Ontario, OR 97914-3121
Phone: (541) 889-9167
Fax: (541) 889-7873
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10006239 (OR)
Registered Nurse Taxonomy 163W00000X · Licence 202113193RN (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 10006239 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10006239 (OR)

Record details

NPI number1720797657
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 18, 2022
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lifeways Inc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Ontario