MAUREEN L WIESE

PORTLAND, OR
NPI1003978610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
Enumeration Date2006-12-14
Last Update Date2007-07-09
Business Address
Mrs. MAUREEN L WIESE C.Ped
11211 SE 82ND, AVE STE. D
PORTLAND, OR 97086
Phone number: 503-653-8700
Mailing Address
Mrs. MAUREEN L WIESE C.Ped
11211 SE 82ND, AVE STE. D
PORTLAND, OR 97266
Phone number: 503-653-8700