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DOUGLAS CRAIG WALTA MD NPI 1023001195


NPI Information

NPI: 1023001195
Provider Name: DOUGLAS CRAIG WALTA, MD
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
1111 NE 99TH AVE
SUITE 301
PORTLAND, OR
ZIP 97220
Phone: (503) 963-2707
Get Directions

Douglas Craig Walta, MD is a gastroenterology internal medicine in Portland, OR. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Douglas Craig Walta, MD NPI is 1023001195. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1111 NE 99TH AVE
SUITE 301
PORTLAND, OR
ZIP 97220-428
Phone: (503) 963-2707
Fax: (503) 963-2802

The enumeration date for this NPI number is 8/24/2005 and was last updated on 8/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0100XInternal MedicineGastroenterologyMD09846OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1109986MEDICARE ID-TYPE UNSPECIFIEDOREGON
21872308MEDICAIDWASHINGTON
3230979MEDICAIDOREGON
4C91292MEDICARE UPINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.