Individual
WILLIAM DANIEL RUEGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10330 SE 32ND AVE STE 205, MILWAUKIE, OR 97222-6594
(503) 513-8950
(503) 513-8951
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD181846
OR
207Q00000X
Family Medicine Physician
MD60385940
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500727250
—
OR
Enumeration date
04/14/2010
Last updated
11/30/2021
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