IndividualActive
Oliver Wisco, D.O.
NPI 1164545166 · MOHS-Micrographic Surgery Physician · Bend, OR
Provider details
- NPI number
- 1164545166
- Entity type
- Individual
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- DO157812 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
Dermatology Health Spcecialist
1693 Sw Chandler Ave Suite 250
Bend, OR 97702-3231
Phone: (541) 382-8819
Approximate (ZIP-level) locationGet directions
Mailing address
15 La Salle Sq
Providence, RI 02903-1814
Additional practice locations (4)
- 593 Eddy St Apc-10Providence, RI 02903-4923Phone: (401) 444-7959Fax: (401) 444-7144
- 375 Wampanoag Trl Ste 401Riverside, RI 02915-2237Phone: (401) 444-7959Fax: (401) 432-6997
- 65 Village Square Dr Ste 201South Kingstown, RI 02879-2569Phone: (401) 444-7959Fax: (401) 515-7910
- 400 Bald Hill RdWarwick, RI 02886-1617Phone: (401) 444-7959Fax: (401) 738-3857
Registry dates
- Enumerated
- 2007-04-06
- Last updated
- 2025-12-19
- Certified
- 2025-12-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.