Individual
ERIC P WECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4004 KRUSE WAY PL STE 300, LAKE OSWEGO, OR 97035-2479
(503) 216-1500
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
159499
CA
207Q00000X
Family Medicine Physician
Primary
MD198552
OR
Other
Enumeration date
06/23/2017
Last updated
04/01/2025
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