Wheeler, David T

Wheeler, David T is an individual health care provider with primary practice located at 9735 Sw Shady Lane Suite 203, Tigard OR 97223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Wheeler, David T can be contacted via phone (503) 635-4436.

Contact Information

Primary practice address
9735 Sw Shady Lane Suite 203 Tigard OR 97223
Fax: (503) 635-7356
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD20807 Oregon

Profile Details

NPI number 1255383121
LBN Legal business name Wheeler, David T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 30th, 2014 - about 12 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 1255383121 NPPES
Oregon MEDICAID 150538
Oregon Other 180040678

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