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Individual

DR. WILFRED ARTHUR GESCHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10101 SE MAIN ST, SUITE 1012, PORTLAND, OR 97216-2455
(503) 256-3627
(503) 252-8983
Mailing address
10101 SE MAIN ST, SUITE 1012, PORTLAND, OR 97216-2455
(503) 256-3627
(503) 252-8983

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
Primary
MD09390
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
072744
OR
05
1002793
WA
Enumeration date
05/24/2005
Last updated
02/19/2013
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