| Ronald W. Powell, D.o.,p.c. | |
|
1673 10th St West Linn OR 97068-4607 | |
| (503) 657-3158 | |
| (503) 657-4579 |
| Full Name | Ronald W. Powell, D.o.,p.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 1673 10th St, West Linn, Oregon |
| Authorized Official Name and Position | Glenda C. Monroe (OFFICE MANAGER) |
| Authorized Official Contact | 5036573158 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald W. Powell, D.o.,p.c. 1673 10th St West Linn OR 97068-4607 Ph: (503) 657-3158 | Ronald W. Powell, D.o.,p.c. 1673 10th St West Linn OR 97068-4607 Ph: (503) 657-3158 |
| NPI Number | 1841485869 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841485869 | NPI | - | NPPES |
| 218545 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO11790 (Oregon) | Primary |
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