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BRIANNA WING NP, RN
NPI 1578101762
Nurse Practitioner - Women's Health in Grand Ronde, OR

Active since December 18, 2019
9605 GRAND RONDE RD, GRAND RONDE, OR 97347(503) 879-2002 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2023, Jul 2, 2020, Dec 18, 2019 (3 updates tracked since 2019).

About Brianna Wing Np, Rn NPPES

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

BRIANNA WING NP, RN (NPI 1578101762) is an individual women's health provider in Grand Ronde, Oregon, licensed in Oregon (202112150NP-PP) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1578101762
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameBRIANNA WINGCredential: NP, RN
Location Address9605 GRAND RONDE RDGrand Ronde, OR 97347-9712
Mailing Address9605 Grand Ronde RdGrand Ronde, OR 97347-9712 · (503) 879-2002
Phone(503) 879-2002
Sole ProprietorNo
Enumeration DateDecember 18, 2019
Last NPPES UpdateOctober 16, 20243 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
✔ NPI 1578101762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in OR · 202112150NP-PP✔ Licensed in WI · 10171-33
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2335343 (MA)
Also ListedFamily MedicineTaxonomy 207Q00000X · License 202112150NP-PP (OR)
9605 GRAND RONDE RD, Grand Ronde, OR 97347
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Other Identifiers 2

Other202112150NP-PPOR · Or State Board Of Nursing
Other10171-33WI · Wisconsin Board Of Nursing

Other Providers at the Same Location NPPES 20

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

HEIDI KATHLEEN HICINBOTHOM
Peer Specialist
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2026
STEPHANIE KING CHW
Community Health Worker
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2078
NATASHA RAE WORDEN PEER SUPPORT
Peer Specialist
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2297
MS. KARAN ELAINE SCHARF CDCIII
Counselor (Addiction (Substance Use Disorder))
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2236
HEATHER MANKA DMD
Dentist
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2020
DR. ERIN MARGARET LANGE DMD
Dentist
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2020
MR. MAURICE A AJAIFIA PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2026
CONFEDERATED TRIBES OF GRAND RONDE COMMUNITY OF OREGON DBA GR HEALTH &
Clinic/Center (Community Health)
9605 GRAND RONDE RD
GRAND RONDE, OR 97347
Polk County (503) 879-2236

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 Brianna Wing's NPI number?

The NPI number for Brianna Wing is 1578101762. It was assigned to this individual provider in the NPPES registry on December 18, 2019.

Where is Brianna Wing located?

Brianna Wing practices at 9605 Grand Ronde Rd, Grand Ronde, OR 97347. The listed phone number is (503) 879-2002.

What is Brianna Wing's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Brianna Wing was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.