Individual
MR. RICHARD M. WHEELER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
149 NE 102ND AVE, PORTLAND, OR 97220-4168
(503) 254-7383
(503) 254-4568
Mailing address
149 NE 102ND AVE, PORTLAND, OR 97220-4168
(503) 254-7383
(503) 254-4568
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6685
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170080
—
OR
Enumeration date
10/11/2005
Last updated
07/08/2007
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