person
Michael Bruce Wyman, MD
Specialist in Portland, Oregon
NPI 1104824648

Michael Bruce Wyman is a Specialist based in Portland, OR. Michael Bruce Wyman practices in Portland, OR and has the professional credentials of MD. The NPI Number for Michael Bruce Wyman is 1104824648 and holds a License No. MD13922 (Oregon).

The current practice location address for Michael Bruce Wyman is 5050 Ne Hoyt St, Portland, OR and can be reached out via phone at 503-234-9861 and via fax at 503-238-0873.

Location: 5050 Ne Hoyt St, Portland, OR, 97213-2991
person
Provider Profile Details
NPI Number
1104824648
Provider Name
Michael Bruce Wyman
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5050 Ne Hoyt St, Portland, OR, 97213-2991
Phone Number
503-234-9861
Fax Number
503-238-0873
Provider Enumeration Date
07/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202739 05 OR
institution
Provider Business Practice Location Address Details
Address
5050 Ne Hoyt St
City
State
Zip
97213-2991
Phone Number
503-234-9861
Fax Number
503-238-0873
person
Provider Business Mailing Address Details
Address
5050 Ne Hoyt St
City
State
Zip
97213-2991
Phone Number
503-234-9861
Fax Number
503-238-0873
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD13922 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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