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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073590998 NPPES
Oregon MEDICAID 175216

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