Wael Ghacham M.D. is an orthopedic with a current address of 3615 Nw Samaritan Dr Ste 210 Corvallis OR 97330-3771. The NPI is 1700105988, and the license number is 4301096562 (MI). It was issued on 05/27/2010. The primary taxonomy code for the clinic is 207X00000X. The provider is registered as an individual, and the NPI number was last updated on szeptember 11, 2020.
Wael Ghacham M.D. can be reached by phone at 5417684501, by mail at Po Box 1189 Corvallis OR 97339-1189, or by fax at .
Name: Wael Ghacham M.D.
Specialization: Orthopedic
Provider Entity Type: Individual
Is Sole Proprietor: No
Gender: Male
Practice Location Address:
3615 Nw Samaritan Dr Ste 210
Corvallis
OR 97330-3771
Telephone Number: 5417684501
Fax Number:
Mailing Address:
Po Box 1189
Corvallis
OR 97339-1189
Telephone Number:
Fax Number:
NPI is an abbreviation for National Provider Identifier. The NPI is a unique 10-digit identification number. The NPI number does not contain personally identifiable information, such as a provider’s specialty or location. The NPI is assigned to individuals or organizations for their lifetime and is unaffected by updates to key provider information, such as a change in practice, location, or specialty.
NPI Number: 1700105988
Enumeration Date: 05/27/2010
Last Update: szeptember 11, 2020
The NPI record includes the health care provider’s taxonomy classification, state license number, and state of licensure. Health care providers choose their own taxonomy codes. Their specialty is determined by their level of education and training. The taxonomy codes do not indicate what services the healthcare provider provides. The levels of the code set are organized in such a way that it is possible to navigate from the generic classification to the most specific level of specialization of a provider.
Primary Taxonomy Code: 207X00000X
License Number: 4301096562
License State: MI
Other Taxonomy (if any):
207X00000X
MD179256
OR
Y
Providers may hold one or more medical licenses in the same state or in different states for different specialties.
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Identifier State:
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