Individual
DR. RONALD WAYNE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1673 10TH ST., WEST LINN, OR 97068-4607
(503) 657-3158
(503) 657-4579
Mailing address
1673 10TH ST., WEST LINN, OR 97068-4607
(503) 657-3158
(503) 657-4579
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO11790
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
218545
—
OR
Enumeration date
08/19/2005
Last updated
06/05/2013
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