Organization
ROBERT WAYNE MD FACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WAYNE MD (OWNER/MD)
(503) 325-9597
Entity
Organization
Contact information
Practice address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
(503) 325-9597
Mailing address
8205 SW CREEKSIDE PL, 150, BEAVERTON, OR 97008-7108
(503) 965-2885
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
01/10/2014
Last updated
01/10/2014
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