Regan B Wylie MD

NPI 1649291683 - Emergency Medicine - 207P00000X

NPI Details
NPI 1649291683
Gender Female
Enumeration Date 07/23/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1015 NW 22ND AVE
PORTLAND OR, 97210-3025, US
Phone (503) 413-7260
Fax
Business Location
6312 SW CAPITOL HWY # 502
PORTLAND OR, 97239-1938, US
Phone (503) 464-9034
Fax
Toxanomy
Taxonomy Code 207P00000X
License State Oregon
License Number MD26054
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According to our database, Regan B Wylie MD NPI is 1649291683, taxonomy code is 207P00000X and license number is MD26054, license state is located at Oregon. Regan B Wylie MD physically located at 1015 Nw 22nd Ave, Portland OR, 97210-3025. NPI Number Regan B Wylie MD has the Individual type.

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1649291683 NPI number is provided on an as is basis without warranty of any kind. 1649291683 is maintained by the National Plan & Provider Enumeration System. The contents of Regan B Wylie MD are for informational purposes only.