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

Mr. Russell Matthew Wimmer, PA-C

Individual provider Physician Assistant · NPI 1912472143

Mr. Russell Matthew Wimmer, PA-C is a Physician Assistant in Lebanon, Oregon. Licensed in Oregon. Registered with an NPI since 2018.

Licensed in
OR
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

425 N Santiam Hwy
Lebanon, OR 97355-4361
Phone: (541) 451-6960
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA189087 (OR)

Record details

NPI number1912472143
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 3, 2018
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020

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