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Individual

WALTER JOHN URBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
4805 NE GLISAN ST, 6N40, PORTLAND, OR 97213
(503) 215-5696
(503) 215-5695
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD18449
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
056023
OR
05
1082296
WA
Enumeration date
08/24/2005
Last updated
03/25/2021
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