Dr. Walter Peter Robertson IV
Internist - Cardiovascular Disease
10180 Se Sunnyside Rd Kaiser Sunnyside Medical Office
Clackamas
, Oregon 97015-8970
Dr. Walter Peter Robertson IV
Internist - Cardiovascular Disease
10180 Se Sunnyside Rd Kaiser Sunnyside Medical Office
Clackamas
, Oregon 97015-8970
(503) 652-2880
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Walter Peter Robertson IV
- 10180 Se Sunnyside Rd Kaiser Sunnyside Medical Office
- Clackamas, OR
- Zip : 97015-8970
- Phone : (503) 652-2880
Second Address
- Dr. Walter Peter Robertson IV
- 10180 Se Sunnyside Rd Kaiser Sunnyside Medical Office
- Clackamas, OR
- Zip : 97015-8970
- Phone : (503) 652-2880
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | MD00047985 | WA |
| Y | 207RC0000X | Internist - Cardiovascular Disease | MD25037 | OR |
National Provider Identifier
| NPI | 1013071042 |
|---|---|
| Provider Name | Dr. Walter Peter Robertson IV |
| First Address | Clackamas, OR 97015-8970 |
| Second Address | Clackamas, OR 97015-8970 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/12/2006 |
| Last Update Date | 04/02/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.