Dr. Michael John Wheatley
Surgeon Plastic Hand Surgeon
501 N Graham St Suite 330
Portland
, Oregon 97227-1654
Dr. Michael John Wheatley
Surgeon Plastic Hand Surgeon
501 N Graham St Suite 330
Portland
, Oregon 97227-1654
(503) 608-4083
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About
Features
Specialties
- Surgeon
- Plastic Hand Surgeon
Languages spoken
- English
Location
First Address
- Dr. Michael John Wheatley
- 9440 Nw Lightning Ridge Dr
- Portland, OR
- Zip : 97229-2633
- Fax : (503) 608-4083
- Phone : (503) 292-8062
Second Address
- Dr. Michael John Wheatley
- 501 N Graham St Suite 330
- Portland, OR
- Zip : 97227-1654
- Fax : (503) 413-3644
- Phone : (503) 413-3650
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 17999 | OR |
| N | 208600000X | Surgeon | 17999 | OR |
| Y | 2082S0105X | Plastic Hand Surgeon | DR.0059470 | CO |
| N | 2082S0105X | Plastic Hand Surgeon | MD17999 | OR |
National Provider Identifier
| NPI | 1376658773 |
|---|---|
| Provider Name | Dr. Michael John Wheatley |
| First Address | Portland, OR 97229-2633 |
| Second Address | Portland, OR 97227-1654 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2006 |
| Last Update Date | 23/10/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F47257 | (02) | |
| MD17999 | OREGON STATE LICENSE (01) | OR |
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.