Individual
MARWAN MOUAMMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10201 SE MAIN ST, SUITE 11, PORTLAND, OR 97216-2937
(503) 253-2248
Mailing address
10201 SE MAIN ST, #11, PORTLAND, OR 97216-2937
(503) 253-2248
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD29097
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD29097
OR
207RP1001X
Pulmonary Disease Physician
Primary
MD29097
OR
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD29097
OR
Other
Enumeration date
09/13/2005
Last updated
09/27/2010
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