Individual
SHELLY WIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1430 MONMOUTH ST, INDEPENDENCE, OR 97351-1127
(503) 838-1133
(503) 838-5138
Mailing address
1430 MONMOUTH ST, INDEPENDENCE, OR 97351-1127
(503) 838-1133
(503) 838-5138
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 1779965
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083092514
NPI
OR
Enumeration date
05/17/2015
Last updated
03/29/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us