Individual
MR. WESLEY WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
10101 SE MAIN ST STE 2014, PORTLAND, OR 97216-2457
(971) 447-0700
Mailing address
10101 SE MAIN ST STE 2014, PORTLAND, OR 97216-2457
(971) 447-0700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA183874
OR
Other
Enumeration date
09/21/2017
Last updated
12/11/2025
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