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NPI Code Detail

MEDICARE: VICTORIA WINTER ANDERSON PA-C

MEDICARE: VICTORIA WINTER ANDERSON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1316682958
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA WINTER ANDERSON PA-C
Provider Business Mailing Address
First Line : PO BOX 1585
Second Line :
City : COEUR D ALENE
State : ID
Zip : 83816-1585
Country : US
Telephone Number : 619-909-4069
Fax Number :
Provider Business Practice Location Address
First Line : 2200 NE NEFF RD STE 200
Second Line :
City : BEND
State : OR
Zip : 97701-4281
Country : US
Telephone Number : 541-382-3344
Fax Number : 541-382-1681
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2022
Last Update Date : 08/01/2025

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Directions to “ VICTORIA WINTER ANDERSON PA-C” Practice Location

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