Michael Abraham Wall
MD | Pediatric Pulmonology | Male
Michael Abraham Wall, MD is a Portland, Oregon based Pediatric doctor with medical specialization in
Pediatric Pulmonology.
Current practice location of Michael Abraham Wall is
3181 Sw Sam Jackson Park Rd, Portland, Oregon - 97239-3011. He can be contacted on phone at
503-418-5747.
Michael Abraham Wall is a sole proprietor of his business.
NPI number (Unique professional ID) for Michael Abraham Wall is
1740296201 which was assigned by NPPES on 01 Aug, 2006 and it was last updated on 08 Jul, 2007.
Michael Abraham Wall license number is
MD11411 for Pediatrics Pediatric Pulmonology (2080P0214X) in Oregon.
Michael Abraham Wall is dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
Complete Profile:
Michael Abraham Wall basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Pulmonology |
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| Provider Name : | Michael Abraham Wall |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Michael Abraham Wall address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3181 Sw Sam Jackson Park Rd
Portland, OR, 97239-3011
United States |
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| Phone Number : | 503-418-5747 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1740296201 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 01 Aug, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Michael Abraham Wall are as mentioned. Primary taxonomy code for Michael Abraham Wall, MD is
2080P0214X (Pediatrics Pediatric Pulmonology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0214X | Pediatrics Pediatric Pulmonology | Yes | MD11411 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Michael Abraham Wall such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 255505 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4039 Sw Council Crest Dr
Portland, OR, 97239-1527
United States |
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Business Location:
Patients can refer following map for directions to
Michael Abraham Wall practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.