Individual
MARIA WEILER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 984-6586
Mailing address
2050 NE HOYT ST APT 442, PORTLAND, OR 97232-3658
(503) 984-6586
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
228693396
OR
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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