Individual
RAVINDRA R PATIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
727 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7650
(503) 717-7624
Mailing address
16130 SW BRAY LN, TIGARD, OR 97224-1090
(503) 521-8267
(503) 521-8267
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD21026
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288039
—
OR
Enumeration date
05/27/2005
Last updated
07/08/2007
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