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Organization
BRYAN D. WALLS, D.O. P.C.
Active
Organization
BRYAN D. WALLS, D.O. P.C.
Active
Other names
Hawthorne Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN DEAN WALLS D.O. (PHYSICIAN)
(503) 963-9181
Entity
Organization
Contact information
Practice address
2306 SE 39TH AVE, PORTLAND, OR 97214-5918
(503) 963-9181
(503) 963-9182
Mailing address
2306 SE 39TH AVE, PORTLAND, OR 97214-5918
(503) 963-9181
(503) 963-9182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO20625
OR
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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