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Individual

DR. WALTER JOE WEICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 N GRAHAM ST, SUITE #100, PORTLAND, OR 97227-1683
(503) 413-1122
(503) 413-4238
Mailing address
300 N GRAHAM ST, SUITE #100, PORTLAND, OR 97227-1683
(503) 413-1122
(503) 413-4238

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
16818
OR
207VM0101X
Maternal & Fetal Medicine Physician
A23031
CA
207VM0101X
Maternal & Fetal Medicine Physician
MD00045734
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
011192
OR
Enumeration date
06/17/2006
Last updated
02/11/2008
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