Organization
BRYAN D. WALLS, D.O. P.C.
Active
Other names
Hawthorne Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN DEAN WALLS D.O. (PHYSICIAN)
(503) 963-9181
Entity
Organization
Contact information
Practice address
2306 SE 39TH AVE, PORTLAND, OR 97214-5918
(503) 963-9181
(503) 963-9182
Mailing address
2306 SE 39TH AVE, PORTLAND, OR 97214-5918
(503) 963-9181
(503) 963-9182
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO20625
OR
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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