Individual
RALPH PARKER ECCLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601
(541) 841-8110
Mailing address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 841-8110
(541) 885-5512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO24643
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227293
—
OR
01
—
D24778
CHAMPUS
OR
01
—
P00131465
MCR RAILROAD
OR
01
—
XTE006916
CA WEL
CA
Enumeration date
07/08/2006
Last updated
07/29/2024
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