Urba, Walter John

Urba, Walter John is an individual health care provider with primary practice located at 4805 Ne Glisan St 6N40, Portland OR 97213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Urba, Walter John can be contacted via phone (503) 215-5696.

Contact Information

Primary practice address
4805 Ne Glisan St 6N40 Portland OR 97213
Phone: (503) 215-5696
Fax: (503) 215-5695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD18449 Oregon

Profile Details

NPI number 1548253602
LBN Legal business name Urba, Walter John
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Mar 25th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548253602 NPPES
Washington MEDICAID 1082296
Washington MEDICAID 056023

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