Individual
RAY STANGELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 252-2004
Mailing address
PO BOX 5275, PORTLAND, OR 97208-5275
(888) 828-3196
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD09616
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
190173
—
OR
01
—
202437
WASHINGTON L&I
—
05
—
8106734
—
WA
01
—
858543005
REGENCE BC/BS
—
01
—
P00232002
RAILROAD MEDICARE
—
05
—
XPY206191
—
CA
Enumeration date
04/10/2006
Last updated
06/25/2009
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