Individual
DR. RONALD ROBERT BARBOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 N GRAHAM ST STE 125, PORTLAND, OR 97227-1683
(503) 413-3714
(503) 413-2061
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A75479
CA
208600000X
Surgery Physician
Primary
MD26735
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A75479
—
CA
Enumeration date
12/14/2005
Last updated
11/19/2019
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