MS. Theresa Jainn Bidwell, FNP/PA-C
NPI #1114966819 in White City, Oregon
Provider Information
- NPI Number
- 1114966819
- Entity Type
- Individual
- Name
- MS. Theresa Jainn Bidwell, FNP/PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- FNP/PA-C
- Enumeration Date
- Jun 6, 2006
- Last Updated
- Jan 23, 2017
Practice Location
- Address
- 8495 CRATER LAKE HWY
- Address 2
- 118-GV
- City
- White City
- State
- Oregon
- ZIP Code
- 97503-3011
- Phone
- (541) 826-2111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
| Nurse Practitioner - Family — Family |
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