Individual
DR. NICOLAAS WILLEM DE WETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
265 N BROADWAY ST, PORTLAND, OR 97227-1800
(503) 280-1223
(503) 528-5252
Mailing address
265 N BROADWAY ST, PORTLAND, OR 97227-1800
(503) 280-1223
(503) 528-5252
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD23344
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016363
—
WA
05
—
287436
—
OR
Enumeration date
05/23/2005
Last updated
12/22/2011
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