Individual
OISIN RUADRI O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD, STE 440, PORTLAND, OR 97225-6625
(503) 297-3766
(503) 297-8148
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD 17954
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067814
—
OR
01
—
140006376
RR MEDICARE
—
01
—
3873100
WELFARE
ID
Enumeration date
09/27/2005
Last updated
01/02/2020
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