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Contact Information

MICHAEL J WHEATLEY, MD
501 N GRAHAM ST
SUITE 330
PORTLAND, OR97227-1654
 Phone: 503-413-3650
 Fax: 503-413-3644
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
 

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MICHAEL J WHEATLEY · (Male)

NPI # 1376658773
Status Active
Credentials MD
Entity Individual
Enumeration date 08/19/2006
Last updated 10/23/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • CO License # DR.0059470
  • OR License # 17999
  • OR License # MD17999
  • OR Other MD17999 OREGON STATE LICENSE
Hospital affiliation(s)
  • MEMORIAL HOSPITAL CENTRAL - (Acute Care)
    1400 E BOULDER ST
    COLORADO SPRINGS, CO 80909
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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