Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD 15673 | OR |
NPI | 1023050275 |
---|---|
Provider Name | Dr. Alan J. Webb |
First Address | Portland, OR 97208-3158 |
Second Address | Medford, OR 97504-8215 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 01/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
210815 | (05) | OR |
E61890 | (02) | OR |