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Individual

WEIJIA WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
A65737
CA
2084N0400X
Neurology Physician
Primary
MD166725
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500671460
OR
Enumeration date
04/28/2006
Last updated
07/15/2014
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