Individual
ROBERT B WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1260
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD22393
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107099
—
OR
Enumeration date
05/12/2006
Last updated
09/28/2022
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