Organization
WILLAMETTE THERAPY
Active
Organization
WILLAMETTE THERAPY
Active
Other names
Ronald Cafferky MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD CAFFERKY M. D. (PRESIDENT)
(360) 263-5420
Entity
Organization
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(360) 263-5420
(360) 263-5406
Mailing address
PO BOX 87670, VANCOUVER, WA 98687-7670
(360) 263-5420
(360) 263-5406
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD 16282
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007836
—
OR
Enumeration date
03/15/2007
Last updated
08/22/2020
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