Individual
DR. KRISTIN MARIE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
619 NW 6TH AVE FL 5, PORTLAND, OR 97209-3964
(503) 988-3674
(503) 988-3676
Mailing address
619 NW 6TH AVE FL 5, PORTLAND, OR 97209-3964
(503) 988-7468
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20464
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09651
—
OR
05
—
22959
—
OR
Enumeration date
01/12/2007
Last updated
02/04/2022
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