Individual
ERRYN WEGGENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9775 SW WILSHIRE ST STE 200, PORTLAND, OR 97225-5067
(503) 646-0101
Mailing address
9775 SW WILSHIRE ST STE 200, PORTLAND, OR 97225-5067
(503) 646-0101
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
174987
OR
Other
Enumeration date
12/07/2015
Last updated
04/22/2019
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