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Contact Information

ALF E WYLLER, MD
10100 SW SUNNYSIDE RD.
CLACKAMAS, OR97015
 Phone: 503-786-8435
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for ALF E WYLLER · (Male)

NPI Number 1346336120
Status Active
Credentials MD
Entity Individual
Enumeration date 10/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD11882
Hospital affiliation(s) Not Available
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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