Individual
ALLISON J WIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 N MONROE ST, EUGENE, OR 97402-4243
(541) 790-7638
(541) 790-7605
Mailing address
1128 W BROADWAY, EUGENE, OR 97402-4816
(541) 790-7638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200641063RN
OR
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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