| Ronald Cafferky Md | |
|
10123 Se Market St Portland OR 97216-2532 | |
| (360) 263-5420 | |
| (360) 263-5406 |
| Full Name | Ronald Cafferky Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 10123 Se Market St, Portland, Oregon |
| Authorized Official Name and Position | Ronald Cafferky (PRESIDENT) |
| Authorized Official Contact | 3602635420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Cafferky Md Po Box 87670 Vancouver WA 98687-7670 Ph: (360) 263-5420 | Ronald Cafferky Md 10123 Se Market St Portland OR 97216-2532 Ph: (360) 263-5420 |
| NPI Number | 1285768879 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285768879 | NPI | - | NPPES |
| 007836 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD 16282 (Oregon) | Primary |
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