Individual
DR. WALTER PETER ROBERTSON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL OFFICE, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
10180 SE SUNNYSIDE RD, KAISER SUNNYSIDE MEDICAL OFFICE, CLACKAMAS, OR 97015-8970
(503) 652-2880
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD00047985
WA
207RC0000X
Cardiovascular Disease Physician
Primary
MD25037
OR
Other
Enumeration date
12/21/2006
Last updated
02/04/2022
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