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1023001195
DOUGLAS CRAIG WALTA
PORTLAND, OR
NPI
1023001195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: OR MD09846)
Enumeration Date
2005-08-24
Last Update Date
2008-08-05
Business Address
-- DOUGLAS CRAIG WALTA MD
1111 NE 99TH AVE SUITE 301
PORTLAND, OR 97220-9428
Phone number: 503-963-2707
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Mailing Address
-- DOUGLAS CRAIG WALTA MD
975 SE SANDY BLVD SUITE 200
PORTLAND, OR 97214-1308
Phone number: 503-963-2846
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