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Individual

DR. SAMUEL DRAPER WEIRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
203 SE PARK PLAZA DR, SUITE 140, VANCOUVER, WA 98684-5886
(360) 449-7039
(960) 449-7034
Mailing address
15920 OSWEGO SHORE CT, LAKE OSWEGO, OR 97034-3617
(503) 699-0438
(503) 699-0736

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD00027264
WA
207XS0106X
Orthopaedic Hand Surgery Physician
MD19018
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
061890
OR
Enumeration date
09/21/2006
Last updated
07/08/2007
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