MRS. MAUREEN L WIESE C.PED
NPI 1003978610
Specialist in Portland, OR

Q: What is Maureen Wiese's NPI number?

The NPI number for Maureen Wiese is 1003978610. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Q: What is Maureen Wiese's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Maureen Wiese was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 14, 2006

11211 SE 82ND, AVE, STE. D, PORTLAND, OR 97086(503) 653-8700(503) 653-8739 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Maureen L Wiese C.ped NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MAUREEN L WIESE C.PED (NPI 1003978610) is an individual specialist in Portland, Oregon and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1003978610

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. MAUREEN L WIESECredential: C.PED

Location Address11211 SE 82ND, AVE, STE. DPortland, OR 97086

Mailing Address11211 Se 82nd, Ave, Ste. DPortland, OR 97266 · (503) 653-8700 · Fax (503) 653-8739

Phone(503) 653-8700

Fax(503) 653-8739

Sole ProprietorYes

Enumeration DateDecember 14, 2006

Last NPPES UpdateSeptember 26, 2024

NPPES CertifiedSeptember 26, 2024

✔ NPI 1003978610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

11211 SE 82ND, AVE, Portland, OR 97086

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Other Identifiers 1

Medicaid229276OR

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Maureen Wiese's NPI number?

The NPI number for Maureen Wiese is 1003978610. It was assigned to this individual provider in the NPPES registry on December 14, 2006.

Where is Maureen Wiese located?

Maureen Wiese practices at 11211 SE 82nd, Ave Ste. D, Portland, OR 97086. The listed phone number is (503) 653-8700.

What is Maureen Wiese's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Maureen Wiese was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.