Organization
WY EAST ENTERPRISES LLC
Active
Other names
Foot Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAUREEN LYN WIESE C. PED (CERTIFIED PEDORTHIST)
(503) 653-8700
Entity
Organization
Contact information
Practice address
11211 SE 82ND AVE, SUITE B-1, HAPPY VALLEY, OR 97086-7624
(503) 653-8700
(503) 653-8739
Mailing address
11211 SE 82ND AVE, SUITE B-1, HAPPY VALLEY, OR 97086-7624
(503) 653-8700
(503) 653-8739
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229276
—
OR
Enumeration date
05/22/2007
Last updated
09/26/2024
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