Individual
DR. STEVEN A WAHLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51377 SW OLD PORTLAND RD STE C, OHSU FAMILY MEDICINE AT SCAPPOOSE, SCAPPOOSE, OR 97056-4023
(503) 418-4222
(503) 418-4223
Mailing address
51377 SW OLD PORTLAND RD STE C, OHSU FAMILY MEDICINE AT SCAPPOOSE, SCAPPOOSE, OR 97056-4023
(503) 418-4222
(503) 418-4223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13885
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00188007
IND BLUE CROSS
OR
01
—
080122426
IND RAILROAD
OR
05
—
115741
—
OR
01
—
J406418
IND PACSOURCE
OR
Enumeration date
02/08/2006
Last updated
04/08/2024
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