IndividualActive
Carmel Wimber, PA-C, M.S.
NPI 1174796528 · Surgical Physician Assistant · Portland, OR
Provider details
- NPI number
- 1174796528
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, M.S.
- Sex
- Female
- Sole proprietor
- No
- License
- PA150424 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
501 N Graham St Ste 330b
Portland, OR 97227-2009
Phone: (503) 413-3690
Fax: (503) 413-3360
Street-level locationGet directions
Mailing address
3303 S Bond Ave Fl 8
Portland, OR 97239-4501
Registry dates
- Enumerated
- 2008-04-08
- Last updated
- 2021-02-09
- Certified
- 2021-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.