Individual
DR. OMAR S MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-2000
Mailing address
10180 SE SUNNYSIDE RD FL 2, CLACKAMAS, OR 97015-8970
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2011033889
MO
207L00000X
Anesthesiology Physician
Primary
MD163003
OR
207L00000X
Anesthesiology Physician
MD60652454
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101740093
—
MO
Enumeration date
07/03/2008
Last updated
02/04/2022
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