Individual
DR. KARL OTTO WUSTRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1830 BLANKENSHIP RD, #100, WEST LINN, OR 97068-4181
(503) 655-9727
(503) 655-9865
Mailing address
1830 BLANKENSHIP RD, #100, WEST LINN, OR 97068-4181
(503) 655-9727
(503) 655-9865
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD08363
OR
Other
Enumeration date
07/08/2006
Last updated
07/09/2007
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