Individual
RICHARD GORDON WELEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3375 SW TERWILLIGER BLVD, PORTLAND, OR 97239
(503) 494-8386
(503) 494-2218
Mailing address
3375 SW TERWILLIGER BLVD, PORTLAND, OR 97239
(503) 494-6107
(503) 494-0470
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD08302
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180040496
RAILROAD MEDICARE RRM
—
05
—
215111
—
OR
Enumeration date
05/16/2006
Last updated
07/18/2008
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