All Medicaid billing entities listing WISNER, THERESA (EXECUTIVE DIRECTOR) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Oregon | 1 | $258K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | LINCOLN COUNTY CHILDREN'S ADVOCACY CENTER | NEWPORT, OR | Adolescent and Children Mental Health Clinic/Center | $258K |