Individual
DR. ANDREW DAVID RONTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5050 NE HOYT, SUITE 315, PORTLAND, OR 97213-2982
(503) 215-8580
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
108649
AK
2084N0400X
Neurology Physician
39857
MT
2084N0400X
Neurology Physician
A140879
CA
2084N0400X
Neurology Physician
MD159845
OR
2084N0400X
Neurology Physician
MD60478521
WA
2084V0102X
Vascular Neurology Physician
Primary
MD159845
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500653063
—
OR
01
—
P01355678
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
12/15/2008
Last updated
11/25/2022
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