Individual
DR. COLTER REID WICHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
960 16TH ST STE 304, SPRINGFIELD, OR 97477-4175
(541) 744-6172
Mailing address
960 16TH ST STE 304, SPRINGFIELD, OR 97477-4175
(541) 744-6172
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD205017
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
05/06/2026
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