John Walter Wiest MD

NPI 1073590998 - Surgery - 2086S0129X

NPI Details
NPI 1073590998
Gender Male
Enumeration Date 12/30/2005
Last Updated 10/20/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
9155 SW BARNES RD
SUITE 321
PORTLAND OR, 97225, US
Phone (503) 292-0070
Fax (503) 292-7731
Business Location
3439 NE SANDY BLVD
PMB 375
PORTLAND OR, 97232, US
Phone (503) 284-8841
Fax (503) 282-3302
Toxanomy
Taxonomy Code 2086S0129X
License State Oregon
License Number MD14474
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According to our database, Dr. John Walter Wiest MD NPI is 1073590998, taxonomy code is 2086S0129X and license number is MD14474, license state is located at Oregon. John Walter Wiest MD physically located at 9155 Sw Barnes Rd, Portland OR, 97225. NPI Number John Walter Wiest MD has the Individual type.

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1073590998 NPI number is provided on an as is basis without warranty of any kind. 1073590998 is maintained by the National Plan & Provider Enumeration System. The contents of John Walter Wiest MD are for informational purposes only.