IndividualActive
Angela Vetterick, PA C
NPI 1093768699 · Physician Assistant · Madras, OR
Provider details
- NPI number
- 1093768699
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA C
- Sex
- Female
- Sole proprietor
- No
- License
- PA01013 (OR)
Practice location
500 Ne a St Ste 100
Madras, OR 97741-1842
Phone: (541) 383-3005
Fax: (541) 383-1883
Mailing address
600 Sw Columbia St Ste 6210
Bend, OR 97702-1099
Registry dates
- Enumerated
- 2006-05-18
- Last updated
- 2023-06-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.