Wheeler, Richard M.
Wheeler, Richard M. is an individual health care provider with primary practice located at 149 Ne 102Nd Ave , Portland OR 97220-4168. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Wheeler, Richard M. can be contacted via phone (503) 254-7383.Contact Information
Primary practice address
149 Ne 102Nd Ave
Portland OR 97220-4168
Phone: (503) 254-7383
Fax: (503) 254-4568
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 6685 | Oregon |
Profile Details
| NPI number | 1598753774 |
|---|---|
| LBN Legal business name | Wheeler, Richard M. |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1598753774 | NPPES |
| Oregon | MEDICAID | 170080 |
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