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:
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1548253602 | NPPES |
Washington | MEDICAID | 1082296 | |
Washington | MEDICAID | 056023 |
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