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
Phone: (503) 692-2430
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 15 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 | 1770544900 | NPPES |
| Oregon | MEDICAID | 048160 |
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