Wakeling, David Scott

Wakeling, David Scott is an individual health care provider with primary practice located at 19300 Sw 65Th Ave , Tualatin OR 97062-7706. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Wakeling, David Scott can be contacted via phone (503) 692-2430.

Contact Information

Primary practice address
19300 Sw 65Th Ave Tualatin OR 97062-7706
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DO15848 Oregon

Profile Details

NPI number 1770544900
LBN Legal business name Wakeling, David Scott
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Mar 23rd, 2011 - about 13 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 1770544900 NPPES
Oregon MEDICAID 048160

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