Edward Weilie Soo M.D.

NPI 1053314633 - Internal Medicine - 207RX0202X

NPI Details
NPI 1053314633
Gender Male
Enumeration Date 05/27/2005
Last Updated 03/14/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
5050 NE HOYT ST
STE 256
PORTLAND OR, 97213-2982, US
Phone (503) 239-7767
Fax (503) 215-6897
Business Location
5050 NE HOYT ST
STE 256
PORTLAND OR, 97213-2982, US
Phone (503) 239-7767
Fax (503) 215-6897
Toxanomy
Taxonomy Code 207RX0202X
License State Oregon
License Number MD21475
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According to our database, Dr. Edward Weilie Soo M.D. NPI is 1053314633, taxonomy code is 207RX0202X and license number is MD21475, license state is located at Oregon. Edward Weilie Soo M.D. physically located at 5050 Ne Hoyt St, Portland OR, 97213-2982. NPI Number Edward Weilie Soo M.D. has the Individual type.

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1053314633 NPI number is provided on an as is basis without warranty of any kind. 1053314633 is maintained by the National Plan & Provider Enumeration System. The contents of Edward Weilie Soo M.D. are for informational purposes only.