Organization
WELLER NEUROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK L WELLER MD (OWNER)
(503) 669-0453
Entity
Organization
Contact information
Practice address
24900 SE STARK ST STE 211, GRESHAM, OR 97030-3382
(503) 669-0435
(503) 618-1859
Mailing address
24900 SE STARK ST STE 211, GRESHAM, OR 97030-3382
(503) 669-0435
(503) 618-1859
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD17310
OR
Other
Enumeration date
06/22/2017
Last updated
07/21/2022
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