Organization
TYRONE WEI, D.C., D.A.C.B.R., L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE WEI D.C., D.A.C.B.R. (OWNER)
(503) 254-7237
Entity
Organization
Contact information
Practice address
15755 SW SEQUOIA PKWY, SUITE 100, TIGARD, OR 97224-7166
(503) 254-7237
(503) 639-9710
Mailing address
15755 SW SEQUOIA PKWY, SUITE 100, TIGARD, OR 97224-7166
(503) 254-7237
(503) 639-9710
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
271493
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17626
SAIF
OR
01
—
194560900
U.S. DEPT. OF LABOR
OR
01
—
23690
REGENCE BLUE CROSS
OR
05
—
271536
—
OR
01
—
28250
DEPT. OF LABOR & INDUSTRIES
WA
01
—
589238
ODS
OR
Enumeration date
11/17/2009
Last updated
11/17/2009
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