Individual
DR. NOEL RABB WARDWELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD0000036625
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD00045316
WA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
MD26055
OR
207RP1001X
Pulmonary Disease Physician
MD0000036625
TN
207RP1001X
Pulmonary Disease Physician
MD00045316
WA
207RP1001X
Pulmonary Disease Physician
MD26055
OR
Other
Enumeration date
09/01/2006
Last updated
02/04/2022
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