Soo, Edward Weilie

Soo, Edward Weilie is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 256, Portland OR 97213-2982. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Soo, Edward Weilie can be contacted via phone (503) 239-7767.

Contact Information

Primary practice address
5050 Ne Hoyt St Ste 256 Portland OR 97213-2982
Phone: (503) 239-7767
Fax: (503) 215-6897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD21475 Oregon

Profile Details

NPI number 1053314633
LBN Legal business name Soo, Edward Weilie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Mar 14th, 2012 - 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 1053314633 NPPES
Oregon MEDICAID 130057
Oregon MEDICAID 1001220

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