Individual
DR. RALPH LEONARD BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6315 SE MORRISON ST, PORTLAND, OR 97215-1943
(503) 781-3063
Mailing address
PO BOX 16760, PORTLAND, OR 97292-0760
(503) 781-3063
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10112
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004903
—
OR
Enumeration date
11/03/2006
Last updated
07/08/2007
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