Heidi Lynn Wise
Heidi Lynn Wise is an Athletic Trainer in Corvallis, Oregon. Licensed in Oregon. Registered with an NPI since 2017.
- Licensed in
- OR
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
850 SW 26th StCorvallis, OR 97331-8624
Phone: (541) 737-9355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence PA184479 (OR) |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence 2000001491 |
Record details
| NPI number | 1689195414 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 1, 2017 |
| Last updated in NPPES | January 11, 2024 |
| Certification date | January 11, 2024 |
| Mailing address | 3495 Bergman Pl Se, Salem, OR 97317-9384 |
Other providers in Corvallis
-
Michael Paul Sandago, ATC
Oregon State University Athletics Gill Coliseum Rm 104, Corvallis, OR 97331-4104 · (541) 737-2153
-
David Stricklin, MS, ATC
325 Valley Football Ctr, Corvallis, OR 97331-8544 · (541) 737-8544
-
Mr. Guido Van Ryssegem, ATC
Oregon State University Student Health 201 Plageman, Corvallis, OR 97331-5801 · (541) 737-3106
-
Mallory R Whitman
114 Gill Coliseum, Corvallis, OR 97331-8547 · (541) 231-4998
-
Russell Yap, ATC
845 SW 30th St, Corvallis, OR 97331-8629 · (541) 768-7700