Organization
RONALD L SPANGLER, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD L SPANGLER MD (OWNER)
(503) 624-2600
Entity
Organization
Contact information
Practice address
4805 NE GLISAN ST, 3E, PORTLAND, OR 97213-2933
(503) 624-2600
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD16696
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011408
—
OR
05
—
1110691
—
WA
Enumeration date
11/02/2006
Last updated
09/19/2008
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