Solange Marie Wyatt MD

NPI 1750399218 - Obstetrics & Gynecology - 207V00000X

NPI Details
NPI 1750399218
Gender Female
Enumeration Date 08/03/2006
Last Updated 12/06/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone (503) 494-4200
Fax
Business Location
3181 SW SAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone (503) 494-8451
Fax (503) 494-2759
Toxanomy
Taxonomy Code 207V00000X
License State Oregon
License Number MD25295
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According to our database, Solange Marie Wyatt MD NPI is 1750399218, taxonomy code is 207V00000X and license number is MD25295, license state is located at Oregon. Solange Marie Wyatt MD physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Solange Marie Wyatt MD has the Individual type.

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1750399218 NPI number is provided on an as is basis without warranty of any kind. 1750399218 is maintained by the National Plan & Provider Enumeration System. The contents of Solange Marie Wyatt MD are for informational purposes only.