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Individual

ERIC G WAELBROECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4104 SE 82ND AVE STE 250, PORTLAND, OR 97266-2954
(503) 215-9850
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PG225193
OR

Other

Enumeration date
04/05/2023
Last updated
10/28/2025
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