Individual
DR. WARREN IKPOMOSA OKUNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19875 SW 65TH AVE, SUITE 100, TUALATIN, OR 97062-8353
(503) 692-7785
(503) 692-2520
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD155468
OR
207Q00000X
Family Medicine Physician
TRN12110
FL
Other
Enumeration date
08/06/2008
Last updated
09/22/2011
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