Individual
DR. ROSS WOPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 HICKORY ST NW STE 200, ALBANY, OR 97321-1700
(541) 812-5800
Mailing address
PO BOX 1188, CORVALLIS, OR 97339-1188
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD183452
OR
208800000X
Urology Physician
PG178504
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2012
Last updated
07/21/2022
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