Individual
DR. WALAA F. R. ABDELMOATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18040 SW LOWER BOONES FERRY RD STE 100, TIGARD, OR 97224-7259
(503) 216-0624
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
12701017-1205
UT
2083X0100X
Occupational Medicine Physician
Primary
MD219357
OR
208D00000X
General Practice Physician
MD61191640
WA
Other
Enumeration date
10/30/2018
Last updated
09/30/2024
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