Walls, Bryan Dean
Walls, Bryan Dean is an individual health care provider with primary practice located at 2306 Se 39Th Ave , Portland OR 97214-5918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Walls, Bryan Dean can be contacted via phone (503) 963-9181.Contact Information
Primary practice address
2306 Se 39Th Ave
Portland OR 97214-5918
Phone: (503) 963-9181
Fax: (503) 963-9182
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO20625 | Oregon |
Profile Details
| NPI number | 1710982129 |
|---|---|
| LBN Legal business name | Walls, Bryan Dean |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Sep 18th, 2008 - about 18 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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