Individual
MICHAEL WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-5800
Mailing address
501 NW ELKS DR, CORVALLIS, OR 97330-3757
(415) 353-7175
(415) 353-9883
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD183583
OR
Other
Enumeration date
03/22/2012
Last updated
02/19/2021
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