MEDICARE: RICHARD GORDON WELEBER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	MD08302	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	180040496	OTHER		RAILROAD MEDICARE RRM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134171465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD GORDON WELEBER MD

Provider Business Mailing Address
First Line	:	3375 SW TERWILLIGER BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239
Country	:	US
Telephone Number	:	503-494-6107
Fax Number	:	503-494-0470

Provider Business Practice Location Address
First Line	:	3375 SW TERWILLIGER BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239
Country	:	US
Telephone Number	:	503-494-8386
Fax Number	:	503-494-2218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/18/2008

Similar Medicare Providers

1679405195 — LARSON DERMATOLOGY, LLC
Practice Location Address:

5441 S MACADAM AVE STE R
PORTLAND, OR
97239-3822

Practice Phone: 541-919-2353
Practice Fax:

1811531577 — ALISHA WELLS LCSW
Practice Location Address:

5100 S MACADAM AVE STE 350
PORTLAND, OR
97239-3877

Practice Phone: 503-231-7854
Practice Fax:

1770102915 — DR. JUSTIN EDWARD GRENET MD
Practice Location Address:

3181 SW SAM JACKSON PARK RD
PORTLAND, OR
97239-3098

Practice Phone: 212-746-2900
Practice Fax: 212-746-4609

1770999427 — KATE STORMFIELD
Practice Location Address:

5441 S MACADAM AVE # 4827
PORTLAND, OR
97239-6106

Practice Phone: 503-907-7709
Practice Fax: 503-296-2264

1669303673 — SOPHIE BUTIGAN BSN, RN
Practice Location Address:

3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR
97239-2964

Practice Phone: 503-220-8262
Practice Fax:

1245859206 — MICHAELA ANGELIQUE CHUA GO
Practice Location Address:

3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR
97239-2964

Practice Phone: 503-220-8262
Practice Fax:

1255151544 — ASTIN MARY MILLS AG-ACNP
Practice Location Address:

3181 SW SAM JACKSON PARK RD
PORTLAND, OR
97239-3011

Practice Phone: 503-494-8311
Practice Fax:

Directions to “ RICHARD GORDON WELEBER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.