SearchOregon101YM0800X

Wilson Vediner

NPI 1992689160 · on the registry since 2025 · sole proprietor

Practice

Address
8448 Se Brooklyn St
Portland, OR 97266
Phone
(541) 301-1062

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon