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Douglas Walta, MD
NPI 1023001195 · Gastroenterology Physician · Portland, OR
Douglas Walta, MD is a Gastroenterology Physician provider in Portland, OR (NPI 1023001195).
Provider details
- NPI number
- 1023001195
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD09846 (OR)
Practice location
1111 Ne 99th Ave
Suite 301
Portland, OR 97220-9428
Phone: (503) 963-2707
Fax: (503) 963-2802
Street-level locationGet directions
Mailing address
975 Se Sandy Blvd
Portland, OR 97214-1308
Registry dates
- Enumerated
- 2005-08-24
- Last updated
- 2008-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.