Individual
DR. WADIH CHAKKOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3355 RIVERBEND DR STE 240, SPRINGFIELD, OR 97477-8800
(554) 168-7171
(541) 687-7943
Mailing address
3355 RIVERBEND DR STE 240, SPRINGFIELD, OR 97477-8800
(541) 868-9292
(541) 687-7943
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD196187
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD61241315
WA
207RI0200X
Infectious Disease Physician
MD61241315
WA
207RP1001X
Pulmonary Disease Physician
MD196187
OR
207RP1001X
Pulmonary Disease Physician
Primary
MD61241315
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500780837
—
OR
Enumeration date
05/28/2013
Last updated
02/07/2022
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