Dr. John Walter Wiest
Vascular Surgeon
9155 Sw Barnes Rd Ste 440
Portland
, Oregon 97225-6631
Dr. John Walter Wiest
Vascular Surgeon
9155 Sw Barnes Rd Ste 440
Portland
, Oregon 97225-6631
(503) 963-2825
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Dr. John Walter Wiest
- 847 Ne 19th Ave Ste 300
- Portland, OR
- Zip : 97232-2686
- Fax : (503) 963-2825
- Phone : (503) 963-2801
Second Address
- Dr. John Walter Wiest
- 9155 Sw Barnes Rd Ste 440
- Portland, OR
- Zip : 97225-6631
- Fax : (503) 935-8505
- Phone : (503) 935-8500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | MD14474 | OR |
National Provider Identifier
| NPI | 1073590998 |
|---|---|
| Provider Name | Dr. John Walter Wiest |
| First Address | Portland, OR 97232-2686 |
| Second Address | Portland, OR 97225-6631 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/12/2005 |
| Last Update Date | 12/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 175216 | (05) | OR |
| C94071 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.