Vetter, Wayne A

Vetter, Wayne A is an individual health care provider with primary practice located at 5528 Se Powell Blvd , Portland OR 97206-2956. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Vetter, Wayne A can be contacted via phone (503) 777-3999.

Contact Information

Primary practice address
5528 Se Powell Blvd Portland OR 97206-2956
Phone: (503) 777-3999
Fax: (503) 777-2914
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP00133 Oregon
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0506 Arizona

Profile Details

NPI number 1467445387
LBN Legal business name Vetter, Wayne A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467445387 NPPES
Oregon MEDICAID 170134
Oregon MEDICAID 236182

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