Individual
CASSANDRA M WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4765 VILLAGE PLAZA LOOP, SUITE 100, EUGENE, OR 97401
(541) 485-7546
(541) 345-5254
Mailing address
PO BOX 5679, EUGENE, OR 97405
(541) 485-7546
(541) 345-5254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA164277
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA164277
OREGON MEDICAL BOARD
OR
Enumeration date
09/09/2013
Last updated
06/14/2023
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