Individual provider · Type 1 NPI

Kevin M. Wiesmann, MD

Diagnostic Radiology Physician · Portland, OR

NPI number 1164401535 Active

Practice location

9205 SW Barnes Rd
Portland, OR 97225-6603

Call (503) 216-4830 Map

Mailing address

PO Box 25180
Portland, OR 97298-0180

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X47145 (MN)
Diagnostic Radiology Physician 2085R0202X25.000136 (OH)
Diagnostic Radiology Physician Primary 2085R0202X170867 (OR)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1164401535

Kevin M. Wiesmann, MD's National Provider Identifier is 1164401535, issued on Jan 12, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Portland, OR. The record was last updated on Feb 8, 2017.