IndividualActive
Jonathan Wang, CSFA
NPI 1073366225 · Surgery Physician · Sisters, OR
Provider details
- NPI number
- 1073366225
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- CSFA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 214228 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
463 N Village Meadows Rd
Sisters, OR 97759-2643
Phone: (541) 730-9279
Approximate (ZIP-level) locationGet directions
Mailing address
463 N Village Meadows Rd
Sisters, OR 97759-2643
Registry dates
- Enumerated
- 2024-04-08
- Last updated
- 2024-04-08
- Certified
- 2024-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.