Individual provider · Type 1 NPI

Maureen L. Wiese, C.PED

Specialist · Portland, OR

NPI number 1003978610 Active

Practice location

11211 SE 82nd, Ave, Ste. D
Portland, OR 97086

Call (503) 653-8700 Map

Fax (503) 653-8739

Mailing address

11211 SE 82nd, Ave, Ste. D
Portland, OR 97266

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other specialist providers in Portland

See all in Portland →

About NPI 1003978610

Maureen L. Wiese, C.PED's National Provider Identifier is 1003978610, issued on Dec 14, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Sep 26, 2024.