Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tammy Wiscovitch

Individual provider Registered Dietitian · NPI 1891501748

Tammy Wiscovitch is a Registered Dietitian OR Nutrition Professional in Cottage Grove, Oregon. Qualified in 2013, 13 years ago. Practices with Peacehealth Medical Group, a 254-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
13
Licensed in
OR
In the registry since
2024
Specialties on file
2

Practice location Address checks out

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone: (541) 767-5311
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1515 Village Dr Ste 200, Cottage Grove, OR 97424 — (541) 767-5200

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 753576 (OR)
Registered Dietitian Taxonomy 133V00000X · Licence 10215552 (OR)

Record details

NPI number1891501748
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2024
Last updated in NPPESJanuary 20, 2025
Certification dateJanuary 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Peacehealth Medical Group — 254 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Cottage Grove