Alf Edward Wyller, M.D. Valid NPI
Individual provider · Health Maintenance Organization · Clackamas, OR
- NPI
- 1346336120
- Type
- Individual (Type 1)
- Primary specialty
- Health Maintenance Organization
- Specialty group
- Managed Care Organizations
- Taxonomy code
- 302R00000X
- License number
- MD11882 (OR)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-10-05
- Last updated
- 2007-07-08
Practice location
10100 Sw Sunnyside Rd.
Clackamas, OR 97015
(503) 786-8435