# RICHARD J. WEILAND, JR., M.D.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023207677
- **Authorized official:** JENNIFER S WEILAND (OFFICE MANAGER)
- **Authorized official phone:** (509) 758-0006

## Contact information

- **Practice address:** 1207 EVERGREEN CT, CLARKSTON, WA 99403-2843
- **Practice address phone:** (509) 758-0006
- **Practice address fax:** (509) 758-2607
- **Mailing address:** 1207 EVERGREEN CT, CLARKSTON, WA 99403-2843
- **Mailing address phone:** (509) 758-0006
- **Mailing address fax:** (509) 758-2607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 15988 | WA | Yes |

## Other

- **Enumeration date:** 10/19/2007
- **Last updated:** 12/11/2009