De Wette, Nicolaas Willem

De Wette, Nicolaas Willem is an individual health care provider with primary practice located at 265 N Broadway St , Portland OR 97227-1800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. De Wette, Nicolaas Willem can be contacted via phone (503) 280-1223.

Contact Information

Primary practice address
265 N Broadway St Portland OR 97227-1800
Phone: (503) 280-1223
Fax: (503) 528-5252
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD23344 Oregon

Profile Details

NPI number 1689677692
LBN Legal business name De Wette, Nicolaas Willem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Dec 22nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689677692 NPPES
Washington MEDICAID 1016363
Washington MEDICAID 287436

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