ALF EDWARD WYLLER

CLACKAMAS, OR
NPI1346336120
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy302R00000X Health Maintenance Organization
(Licence: OR  MD11882)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
-- ALF EDWARD WYLLER M.D.
10100 SW SUNNYSIDE RD.
CLACKAMAS, OR 97015
Phone number: 503-786-8435
Mailing Address
-- ALF EDWARD WYLLER M.D.
30203 SW LADD HILL RD. PO BOX 817
SHERWOOD, OR 97140
Phone number:
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