Individual
WALTER F GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9290 SE SUNNYBROOK BLVD, SUITE 210, CLACKAMAS, OR 97015-6899
(503) 216-7960
Mailing address
9290 SE SUNNYBROOK BLVD, SUITE 210, CLACKAMAS, OR 97015-6899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD17036
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151260
—
OR
Enumeration date
12/26/2007
Last updated
04/13/2012
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