Wiest, John Walter
Wiest, John Walter is an sole proprietor health care provider with primary practice located at 9155 Sw Barnes Rd Ste 440 , Portland OR 97225-6631. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Wiest, John Walter can be contacted via phone (503) 935-8500.Contact Information
Primary practice address
9155 Sw Barnes Rd Ste 440
Portland OR 97225-6631
Phone: (503) 935-8500
Fax: (503) 935-8505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD14474 | Oregon |
Profile Details
| NPI number | 1073590998 |
|---|---|
| LBN Legal business name | Wiest, John Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2005 |
| Last updated | Nov 12th, 2021 - about 3 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 | 1073590998 | NPPES |
| Oregon | MEDICAID | 175216 |
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