Karl O. Wustrack,MD,PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD08363 Issued in OR

Legal business name

KARL O. WUSTRACK,MD,PC

Practice address

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

Phone

(503) 655-9727

Fax

(503) 655-9865

NPI assigned

Jan 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Karl Otto Wustrack, M.D.

Title

Owner

Phone

(503) 655-9727

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Lloyd Combs, M.D.

  • Plastic Surgery Physician
  • West Linn, OR
  • NPI 1609891035
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1881966398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 BLANKENSHIP RD",
            "address_2": "SUITE 100",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684181",
            "telephone_number": "503-655-9727",
            "fax_number": "503-655-9865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 BLANKENSHIP RD",
            "address_2": "SUITE 100",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684181",
            "telephone_number": "503-655-9727",
            "fax_number": "503-655-9865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARL O. WUSTRACK,MD,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "WUSTRACK",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "OTTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-655-9727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD08363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Keith Johnson, DC
• Kelsey Johnson, LMT
• Guinevere Zandt Jones, LMT
• Mikki Jordan, LCSW
• Adrian Leslie Kalil, CRNA CERTIFIFED REGI
• Cynthia Katancik
• Kaufman Medical Group, LLC
• Steven R Kaufman, DO
• Daralyn Kawamoto, PHARMD
• Shayla Marie Keegan, LMT

• Plastic Surgery Physician in West Linn, OR
• Providers in West Linn, OR by specialty
• Plastic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.