Individual
DR. WAEL GHACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3615 NW SAMARITAN DR STE 210, CORVALLIS, OR 97330-3771
(541) 768-4501
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
4301096562
MI
207X00000X
Orthopaedic Surgery Physician
Primary
MD179256
OR
Other
Enumeration date
05/27/2010
Last updated
11/09/2020
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