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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497790141 | NPPES |
| Oregon | MEDICAID | 011192 |
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