Individual
RONALD L ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9631 N NEVADA ST STE 300, SPOKANE, WA 99218-1193
(509) 489-4040
(509) 227-7070
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
(509) 227-7070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00041940
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1121920
—
WA
01
—
1659473759
NPI
WA
01
—
198432
L&I
—
01
—
P00268217
TRAV MEDICARE
WA
Enumeration date
09/01/2006
Last updated
06/23/2021
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