Individual
DR. ELLEN MARIE RANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3101 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3009
(503) 221-3424
(503) 221-3490
Mailing address
PO BOX 8500, LOCKBOX 7642, SHRINERS HOSPITALS FOR CHILDREN PORTLAND, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(813) 281-8656
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
10290
HI
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
MD154890
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD154890
LICENSE
OR
Enumeration date
10/12/2006
Last updated
11/12/2021
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