Provider Demographics
NPI:1770877094
Name:WALIA, REUBEN D (MD)
Entity type:Individual
Prefix:DR
First Name:REUBEN
Middle Name:D
Last Name:WALIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 5845
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97228-5845
Mailing Address - Country:US
Mailing Address - Phone:425-454-5281
Mailing Address - Fax:425-990-5261
Practice Address - Street 1:1100 112TH AVE NE STE 320
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004
Practice Address - Country:US
Practice Address - Phone:425-289-3000
Practice Address - Fax:425-289-3240
Is Sole Proprietor?:No
Enumeration Date:2011-06-03
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60587594207QS1201X, 207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine