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PATRICIA DIANE WIDENOJA BSN, MN, FNP
NPI 1235110628
Nurse Practitioner - Family in Silver Lake, OR

Active since November 11, 2005
85955 RAVEN RIDGE LN, SILVER LAKE, OR 97638(541) 576-3070(541) 576-3070 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Oct 14, 2020 (2 updates tracked since 2020).

About Patricia Diane Widenoja Bsn, Mn, Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA DIANE WIDENOJA BSN, MN, FNP (NPI 1235110628) is an individual family provider in Silver Lake, Oregon, licensed in Oregon (078041667N1) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1235110628
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePATRICIA DIANE WIDENOJACredential: BSN, MN, FNP
Location Address85955 RAVEN RIDGE LNSilver Lake, OR 97638-9627
Mailing Address85955 Raven Ridge LnSilver Lake, OR 97638-9627 · (541) 576-3070 · Fax (541) 576-3070
Phone(541) 576-3070
Fax(541) 576-3070
Sole ProprietorYes
Enumeration DateNovember 11, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedOctober 14, 2020
✔ NPI 1235110628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OR · 078041667N1
85955 RAVEN RIDGE LN, Silver Lake, OR 97638
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Other Identifiers 2

OtherANP0170OR · Workers Compensation
Medicaid051750OR

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLNESS NURSING'S WAY, INC.
Clinic/Center (Primary Care)
85955 RAVEN RIDGE LN
SILVER LAKE, OR 97638
Lake County (541) 576-3070

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Widenoja's NPI number?

The NPI number for Patricia Widenoja is 1235110628. It was assigned to this individual provider in the NPPES registry on November 11, 2005.

Where is Patricia Widenoja located?

Patricia Widenoja practices at 85955 Raven Ridge Ln, Silver Lake, OR 97638. The listed phone number is (541) 576-3070.

What is Patricia Widenoja's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Patricia Widenoja was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.