Provider Demographics
NPI:1487867081
Name:WILCOX, KARA NOEL (PA-C)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:NOEL
Last Name:WILCOX
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:NOEL
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 1517
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:OR
Mailing Address - Zip Code:97801-0410
Mailing Address - Country:US
Mailing Address - Phone:541-278-4332
Mailing Address - Fax:541-278-8349
Practice Address - Street 1:PRAXIS HEALTH PC DBA OAK STREET MEDICAL
Practice Address - Street 2:1426 OAK ST
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401
Practice Address - Country:US
Practice Address - Phone:541-431-0000
Practice Address - Fax:541-233-4063
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA19236363A00000X
TXPA02306363A00000X
ORPA151100363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORS82692Medicare UPIN
TXS82692Medicare UPIN