Individual
MR. JOEL PAUL WOMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 571-3025
Mailing address
2721 SE 78TH AVE, PORTLAND, OR 97206-1703
(503) 679-9367
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
176980
OR
Other
Enumeration date
04/03/2013
Last updated
02/04/2022
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