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1710098397
JOHN WIEST
CLACKAMAS, OR
NPI
1710098397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR OR 078040891N1)
Enumeration Date
2006-08-31
Last Update Date
2007-07-10
Business Address
Mr. JOHN WIEST fnp
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-8970
Phone number: 503-786-8435
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Mailing Address
Mr. JOHN WIEST fnp
9900 SE SUNNYSIDE RD
CLACKAMAS, OR 97015-9777
Phone number: 503-571-8631
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