Individual
DEIDRE WEILER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
10101 SE MAIN ST, SUITE 1001, PORTLAND, OR 97216-2455
(503) 419-6001
(503) 408-4077
Mailing address
10101 SE MAIN ST, SUITE 1001, PORTLAND, OR 97216-2455
(503) 419-6001
(503) 408-4077
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
096007164N3
OR
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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