Weick, Walter Joe

Weick, Walter Joe is an sole proprietor health care provider with primary practice located at 300 N Graham St Suite #100, Portland OR 97227-1683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Weick, Walter Joe can be contacted via phone (503) 413-1122.

Contact Information

Primary practice address
300 N Graham St Suite #100 Portland OR 97227-1683
Phone: (503) 413-1122
Fax: (503) 413-4238
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 16818 Oregon
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD00045734 Washington
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X A23031 California

Profile Details

NPI number 1497790141
LBN Legal business name Weick, Walter Joe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2006
Last updated Feb 11th, 2008 - about 16 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 1497790141 NPPES
Oregon MEDICAID 011192

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