Individual
DR. JULIO A ORDONEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24900 SE STARK, SUITE 209, GRESHAM, OR 97030-3382
(503) 665-5522
(503) 665-8822
Mailing address
24900 SE STARK ST, SUITE 209, GRESHAM, OR 97030-3355
(503) 665-5522
(503) 665-8822
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD11164
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192138
—
OR
01
—
R169209
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
OR
Enumeration date
05/02/2006
Last updated
08/16/2013
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