Individual
WESAM A NASRALLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D,
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE OP31, PORTLAND, OR 97239-3011
(503) 494-6404
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE OP31, PORTLAND, OR 97239-3011
(503) 494-6404
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
FE175723
OR
Other
Enumeration date
09/05/2011
Last updated
07/20/2016
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