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Kevin M Wiesmann, MD
Diagnostic Radiology Physician in Portland, Oregon
NPI 1164401535

Kevin M Wiesmann is a Diagnostic Radiology Physician based in Portland, OR and is specialized in Diagnostic Radiology. Kevin M Wiesmann practices in Portland, OR and has the professional credentials of MD. The NPI Number for Kevin M Wiesmann is 1164401535 and holds a License No. 47145 (Oregon).

The current practice location address for Kevin M Wiesmann is 9205 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-216-4830.

Location: 9205 Sw Barnes Rd, Portland, OR, 97298-0180
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Provider Profile Details
NPI Number
1164401535
Provider Name
Kevin M Wiesmann
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9205 Sw Barnes Rd, Portland, OR, 97298-0180
Phone Number
503-216-4830
Fax Number
Provider Enumeration Date
01/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
679483100 05 MN
institution
Provider Business Practice Location Address Details
Address
9205 Sw Barnes Rd
City
State
Zip
97225-6603
Phone Number
503-216-4830
Fax Number
person
Provider Business Mailing Address Details
Address
9205 Sw Barnes Rd
City
State
Zip
97225-6603
Phone Number
503-216-4830
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
47145 (Minnesota)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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