ROBERT W.T. MYALL MD

Surgery Yellow Pages

Portland, Oregon

Provider NPI: 1720093230

Provider Information:
 ROBERT W.T. MYALL MD


Practice Location:
3181 SW SAM JACKSON PARK RD  PORTLAND, OR 97239 US
Tel: 503-494-8914  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	204E00000X	Physicians Oral & Maxillofacial Surgery	OR	MD23291
N	204E00000X	Physicians Oral & Maxillofacial Surgery	OR	DF0014

Other Provider Identifiers:

Issuer	Number	State	Type
	287170	OR	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin