Individual
ROBERT F WARDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10201 SE MAIN ST, SUITE 10, PORTLAND, OR 97216-2937
(503) 255-2186
(503) 255-2194
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD22986
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287158
—
OR
Enumeration date
04/21/2006
Last updated
12/26/2012
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