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Contact Information

JOSEPH M OBADIAH, MD
5330 NE GLISAN ST
SUITE 200
PORTLAND, OR97213-3069
 Phone: 503-215-9080
 Fax: 503-215-9099
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JOSEPH M OBADIAH · (Male)

NPI Number 1699818120
Status Active
Credentials MD
Entity Individual
Enumeration date 02/15/2007
Last updated 03/22/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2003010752
  • OR License # MD26968
  • WA License # MD00047161
  • OR Medicaid 028538
  • OR Other P00973909 RR MEDICARE
  • OR Other H94431 UPIN
Hospital affiliation(s)
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
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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