Individual
DR. DAVID T WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9735 SW SHADY LANE, SUITE 203, TIGARD, OR 97223
(503) 635-4436
(503) 635-7356
Mailing address
9735 SW SHADY LANE, SUITE 203, TIGARD, OR 97223
(503) 635-4436
(503) 635-7356
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD20807
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150538
—
OR
01
—
180040678
RAILROAD MEDICARE
—
Enumeration date
05/17/2006
Last updated
07/30/2014
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