Individual
DR. THEODORE DAVID PAWLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 N GRAHAM ST, SUITE 265, PORTLAND, OR 97227-2000
(503) 282-7002
(503) 280-1290
Mailing address
501 N GRAHAM ST, SUITE 265, PORTLAND, OR 97227-2000
(503) 282-7002
(503) 280-1290
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
036103541
IL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
MD27961
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218504
—
OR
Enumeration date
12/14/2006
Last updated
07/09/2015
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