Individual
KEVIN STEPHEN WEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
551 LONE PINE BLVD, THE DALLES, OR 97058
(541) 506-6530
(541) 506-6431
Mailing address
PO BOX 1520, THE DALLES, OR 97058
(541) 506-6530
(541) 506-6531
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD26170
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218103
—
OR
05
—
270022
—
OR
Enumeration date
08/01/2006
Last updated
11/02/2011
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