Individual
RONALD JEFFREY DWORKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5050 NE HOYT ST, STE 540, PORTLAND, OR 97213-2985
(503) 215-6601
(503) 215-6727
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD16576
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010046
—
OR
Enumeration date
06/27/2005
Last updated
01/15/2021
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