Individual
DR. ROBERT MICHAEL WILECHANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 418-4189
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 418-4189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
267528
MA
207R00000X
Internal Medicine Physician
MD220757
OR
207RG0100X
Gastroenterology Physician
267528
MA
207RG0100X
Gastroenterology Physician
Primary
MD220757
OR
207RT0003X
Transplant Hepatology Physician
MD220757
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2016
Last updated
09/11/2024
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