Dr. NICOLAAS W DE WETTE M.D.
Individual Provider (NPI-1)
Active
Provider Information
- NPI Number
1689677692- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 265 N BROADWAY ST, PORTLAND, OR, 972271800
- Phone
- (503) 280-1223
- Fax
- (503) 528-5252
Specialties & Taxonomies
Unknown
Primary License: OR #MD23344