Organization
AARON SPRACKLEN DO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON L SPRACKLEN MD (PRESIDENT)
(503) 372-2740
Entity
Organization
Contact information
Practice address
900 SUNSET DR, LA GRANDE, OR 97850-1362
(541) 963-8421
Mailing address
PO BOX 4008, PORTLAND, OR 97208-4008
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB1788
RAILROAD MEDICARE
OR
Enumeration date
06/17/2006
Last updated
11/29/2007
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