Organization
WY EAST ENTERPRISES LLC
Active
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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