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Individual

DOUGLAS NEWELL RUNCKEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
13705 NE AIRPORT WAY STE C, PORTLAND, OR 97230-1048
(503) 258-6846
(503) 258-6864
Mailing address
3419 PRINGLE RD SE, SALEM, OR 97302-2649
(503) 370-8988
(503) 258-6864

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
OR MD09235
OR

Other

Enumeration date
08/27/2006
Last updated
07/08/2007
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