Individual provider · Type 1 NPI

Karl Otto Wustrack, MD

Specialist · West Linn, OR

NPI number 1760415368 Active

Practice location

1830 Blankenship Rd, #100
West Linn, OR 97068-4181

Fax (503) 655-9865

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XMD08363 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1760415368

Karl Otto Wustrack, MD's National Provider Identifier is 1760415368, issued on Jul 8, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in West Linn, OR. The record was last updated on Jul 9, 2007.