Individual
WAKABA CLAIRE OMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD228520
OR
207Q00000X
Family Medicine Physician
Primary
PG221928
OR
Other
Enumeration date
06/21/2019
Last updated
01/14/2026
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