Individual
MRS. LINDSAY EVELYN WYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-8510
(503) 494-4631
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-8510
(503) 494-4631
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA00992
—
363AS0400X
Surgical Physician Assistant
Primary
PA00992
OR
Other
Enumeration date
01/03/2007
Last updated
12/18/2020
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