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

Teresa L. Wiczynski, PA

Individual provider Physician Assistant · NPI 1417647579

Teresa L. Wiczynski, PA is a Physician Assistant in Medford, Oregon. Graduated from University of Kentucky College of Medicine in 2018, 8 years ago. Practices with Southern Oregon Orthopedics Inc, a 65-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
8
Trained at
University of Kentucky College of Medicine
Licensed in
OR
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2780 E Barnett Rd Ste 200
Medford, OR 97504-8674
Phone: (541) 779-6250
Fax: (541) 608-2535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA229908 (OR)

Record details

NPI number1417647579
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 11, 2023
Last updated in NPPESJuly 13, 2026
Certification dateJuly 13, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Southern Oregon Orthopedics Inc — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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