Individual
MS. CARMEL WIMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, M.S.
Contact information
Practice address
501 N GRAHAM ST STE 330B, PORTLAND, OR 97227-2009
(503) 413-3690
(503) 413-3360
Mailing address
3303 S BOND AVE FL 8, PORTLAND, OR 97239-4501
(503) 494-4314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA150424
OR
363AS0400X
Surgical Physician Assistant
Primary
PA150424
OR
Other
Enumeration date
04/08/2008
Last updated
02/09/2021
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