Douglas Craig Walta, MD

NPI #1023001195 in Portland, Oregon

Provider Information

NPI Number
1023001195
Entity Type
Individual
Name
Douglas Craig Walta, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Internal Medicine - Gastroenterology
Credential
MD
Enumeration Date
Aug 24, 2005
Last Updated
Aug 5, 2008

Practice Location

Address
1111 NE 99TH AVE
Address 2
SUITE 301
State
Oregon
ZIP Code
97220-9428
Phone
(503) 963-2707

Specialties & Taxonomy Codes

Specialty
Internal Medicine - GastroenterologyGastroenterology

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