Organization
JOHN W. RAGSDALE, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WILLIAM RAGSDALE M.D. (PRESIDENT)
(503) 652-7191
Entity
Organization
Contact information
Practice address
10330 SE 32ND AVE, SUITE 340, MILWAUKIE, OR 97222-6587
(503) 652-7191
(503) 905-0706
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(503) 652-7191
(503) 905-0706
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD14877
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027610
—
OR
01
—
DC3890
RAILROAD MEDICARE
OR
Enumeration date
08/30/2006
Last updated
12/10/2008
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