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Contact Information

WALTER P ROBERTSON IV, MD
10180 SE SUNNYSIDE RD
KAISER SUNNYSIDE MEDICAL OFFICE
CLACKAMAS, OR97015-8970
 Phone: 503-652-2880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for WALTER P ROBERTSON IV · (Male)

NPI # 1013071042
Status Active
Credentials MD
Entity Individual
Enumeration date 12/21/2006
Last updated 07/10/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD25037
  • WA License # MD00047985
Hospital affiliation(s)
  • KAISER SUNNYSIDE MEDICAL CENTER - (Acute Care)
    10180 SE SUNNYSIDE ROAD
    CLACKAMAS, OR 97015
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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