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Contact Information

WADIH CHAKKOUR, MD
3355 RIVERBEND DR STE 240
SPRINGFIELD, OR97477-8800
 Phone: 554-168-7171
 Fax: 541-687-7943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for WADIH CHAKKOUR · (Male)

NPI # 1588001895
Status Active
Credentials MD
Entity Individual
Enumeration date 05/28/2013
Last updated 02/07/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD196187
  • WA License # MD61241315
  • OR Medicaid 500780837
Hospital affiliation(s)
  • PEACEHEALTH SOUTHWEST MEDICAL CENTER - (Acute Care)
    400 NE MOTHER JOSEPH PLACE
    VANCOUVER, WA 98668
  • SACRED HEART MEDICAL CENTER - RIVERBEND - (Acute Care)
    3333 RIVERBEND DRIVE
    SPRINGFIELD, OR 97477
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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