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1073590998
JOHN WALTER WIEST
PORTLAND, OR
NPI
1073590998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: OR MD14474)
Enumeration Date
2005-12-30
Last Update Date
2021-11-12
Business Address
Dr. JOHN WALTER WIEST MD
9155 SW BARNES RD STE 440
PORTLAND, OR 97225-6631
Phone number: 503-935-8500
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Mailing Address
Dr. JOHN WALTER WIEST MD
847 NE 19TH AVE STE 300
PORTLAND, OR 97232-2686
Phone number: 503-963-2801
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