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1487634861

NPI Code Detail

MEDICARE: TIEN AHN WEE MD

MEDICARE: TIEN AHN WEE 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	2085R0202X	Diagnostic Radiology Physician	10956	NV
2	2085R0202X	Diagnostic Radiology Physician	A65386	CA
3	2085R0202X	Diagnostic Radiology Physician	MD00041078	WA
4	2085R0202X	Diagnostic Radiology Physician	26811	OR

Other Identifiers

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

General Provider Information

NPI Number	:	1487634861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIEN AHN WEE MD

Provider Business Mailing Address
First Line	:	PO BOX 2156
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97339-2156
Country	:	US
Telephone Number	:	541-758-5047
Fax Number	:	541-758-3713

Provider Business Practice Location Address
First Line	:	1500 DIVISION ST
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-1527
Country	:	US
Telephone Number	:	503-656-1631
Fax Number	:

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

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	11/08/2007

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Directions to “ TIEN AHN WEE 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.

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