Individual
RONALD TODD OVERMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.D., M.S., PA-C
Contact information
Practice address
11900 SW GREENBURG ROAD, TIGARD, OR 97223-6453
(503) 620-5556
(503) 624-0118
Mailing address
11900 SW GREENBURG RD, TIGARD, OR 97223-6453
(503) 620-5556
(503) 624-0118
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
00425
OR
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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