WEIYA WYSHAM


Address: 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900
Phone: 5034138654

WEIYA WYSHAM (NPI# 1730322702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730322702
Entity Type Individual
Full Name WEIYA WYSHAM
Credential M.D.
Practice Address 1130 Nw 22nd Ave
Suite 110
Portland
OR 97210-2900
Practice Telephone 5034138654
Mailing Telephone 5034138654
Enumeration Date 2009-04-07
Last Update Date 2016-06-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
MD.60622763 WA Allopathic & Osteopathic Physicians
Y 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
MD175715 OR Allopathic & Osteopathic Physicians

Office Location

Street Address 1130 NW 22ND AVE
SUITE 110
City PORTLAND
State OR
Zip Code 97210-2900

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689677445 Evonne Maria Kandas Nurse Practitioner 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 2005-05-24
1346756269 Erin P O'hollaren Registered Nurse 1130 Nw 22nd Ave, Portland, OR 97210-2900 2017-12-15
1366967879 Vladimir Nikolayevich Chernyshev Licensed Practical Nurse 1130 Nw 22nd Ave, Portland, OR 97210-2900 2017-08-04
1659802650 Paula J. Staab Dietitian, Registered 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 2017-03-22
1447604566 Lori Eckel Social Worker 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 2016-04-14
1245660414 Margarita Damaso-sahari Nurse Practitioner 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 2013-11-25
1932464492 Complete Anesthesia Care LLC Nurse Anesthetist, Certified Registered 1130 Nw 22nd Ave, Suite 615, Portland, OR 97210-2900 2012-07-11
1033478409 Megan N Stack Nurse Practitioner 1130 Nw 22nd Ave, Suite 640, Portland, OR 97210-2900 2012-05-04
1730455304 Nancy M Oswald Social Worker 1130 Nw 22nd Ave, Suite 345, Portland, OR 97210-2900 2012-03-28
1992090112 Onyekachi Ogbonna Internal Medicine 1130 Nw 22nd Ave, Portland, OR 97210-2900 2011-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679109086 Joseph Francolino Massage Therapist 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 2020-03-17
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1649769480 Dipesh Patel Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 2018-05-08
1760987234 Meghan Teague Student in an Organized Health Care Education/Training Program Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 2018-03-27
1205349172 Paul M Storm Acupuncturist 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 2017-11-14
1740703750 Audra K Berning Massage Therapist 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 2017-07-21
1720539810 Anna-marie Elizabeth Wood Audiologist 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 2016-10-24
1659829836 H&s Pearl, LLC Massage Therapist 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 2016-09-15
1255785796 Cortez Natural Medicine, Inc. Acupuncturist 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 2016-04-21
1932563616 Vincent Chen Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 2016-04-08
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Taxonomy Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164592382 Jana Marie Reddoch Obstetrics & Gynecology 9155 Sw Barnes Rd Suite 416, Portland, OR 97225 2006-11-08
1740362052 Colleen Catherine Mccormick Obstetrics & Gynecology 1130 Nw 22nd Ave Ste 110, Portland, OR 97210-2934 2006-10-19
1861781767 Cassandra Michelle Niemi Obstetrics & Gynecology 9555 Sw Barnes Rd Ste 150, Portland, OR 97225-6691 2011-03-31
1598927261 Gina Louise Westhoff Obstetrics & Gynecology 1130 Nw 22nd Ave, Suite 110, Portland, OR 97210-2900 2008-06-25
1770598278 Tanja Branko Pejovic Obstetrics & Gynecology 3181 Sw Sam Jackson Park Rd, L466, Portland, OR 97239-3011 2006-07-31
1508838897 Elizabeth Grace Munro Obstetrics & Gynecology 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2006-02-02
1295716496 William Edward Winter IIi Obstetrics & Gynecology 265 N Broadway St, Portland, OR 97227-1800 2005-11-07
1811990484 Paul Chien-chung Tseng Obstetrics & Gynecology 265 N Broadway St, Portland, OR 97227-1800 2005-05-27
1780687566 Lisa Louise Mccluskey Obstetrics & Gynecology 9555 Sw Barnes Rd, Ste 150, Portland, OR 97225-6663 2005-05-24
1629071592 Jim Alan Gosewehr Obstetrics & Gynecology 9555 Sw Barnes Rd, Ste 150, Portland, OR 97225-6663 2005-05-24
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Competitor

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City PORTLAND
Zip Code 97210

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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