| Eric P Wecker, MD | |
| 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035-2479 | |
| (503) 216-1500 | |
| Not Available | 
| Full Name | Eric P Wecker | 
|---|---|
| Gender | Male | 
| Speciality | Family Medicine | 
| Location | 4004 Kruse Way Pl Ste 300, Lake Oswego, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1609396365 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | 159499 (California) | Secondary | 
| 207Q00000X | Family Medicine | MD198552 (Oregon) | Primary | 
| Entity Name | Providence Health & Services Oregon | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 | 
| Entity Name | Kaiser Foundation Health Plan Of The Northwest | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Eric P Wecker, MD Po Box 3158, Portland, OR 97208-3158 Ph: () - | Eric P Wecker, MD 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035-2479 Ph: (503) 216-1500 | 
| Laura Lei Zhong Gaff, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035 Phone: 503-216-1500 | |
| James Clive Chesnutt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4811 Meadows Rd Ste 101, Lake Oswego, OR 97035 Phone: 360-254-6161 Fax: 360-449-1146 | |
| Dr. Walter Ray Hardin, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Centerpointe Dr Ste 200, Lake Oswego, OR 97035 Phone: 503-797-2268 | |
| Dr. David W Selby, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 16463 Boones Ferry Rd Ste 100, Lake Oswego, OR 97035 Phone: 503-635-1350 Fax: 503-635-8470 | |
| Dr. Josh Gepner, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 412 A Ave Ste 200, Lake Oswego, OR 97034 Phone: 503-635-2496 Fax: 503-635-2497 | |
| Michael Zimmerman, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6 Centerpointe Dr Ste 200, Lake Oswego, OR 97035 Phone: 503-797-2273 Fax: 503-234-8155 | |
| Herbert H Lim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4015 Mercantile Dr Ste 200, Lake Oswego, OR 97035 Phone: 503-216-1500 |