Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Mr. Russell Matthew Wimmer, PA-C
Physician Assistant in Lebanon, OR · enumerated 2018.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1912472143
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Registry record
Entity type Individual (Type 1)
Name Mr. Russell Matthew Wimmer
Credential PA-C
Sex Male
Practice address 425 N Santiam Hwy, Lebanon, OR, 97355
Phone (541) 451-6960
Enumeration date Oct 3, 2018
Last updated in NPPES Nov 4, 2020
Taxonomy & licenses
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA189087 (OR) Primary
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.
What specialty is Russell Wimmer?
Russell Wimmer is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Other providers at this practice address
Browse all → Marylou Belozer Family Medicine Physician · Lebanon, OR NPI 1356380208 Richard Wopat Family Medicine Physician · Lebanon, OR NPI 1588692297 Krystal Plotts Family Medicine Physician · Lebanon, OR NPI 1386955441 Lea Burns Psychologist · Lebanon, OR NPI 1417264672 Gina Miller Family Medicine Physician · Lebanon, OR NPI 1144513250 Mid-Valley Healthcare, Inc. Family Medicine Physician · Lebanon, OR NPI 1972869121 Mid-Valley Healthcare, Inc. Rural Health Clinic/Center · Lebanon, OR NPI 1881950038 Mid-Valley Healthcare, Inc. Cardiovascular Disease Physician · Lebanon, OR NPI 1891059135
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-04.