Individual
WENDY WAIBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
21015 SE STARK ST, GRESHAM, OR 97030-2015
(503) 669-6120
(503) 669-6163
Mailing address
21015 SE STARK ST, GRESHAM, OR 97030-2015
(503) 669-6120
(503) 669-6163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202214629NP-PP
OR
Other
Enumeration date
08/13/2020
Last updated
10/17/2025
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