Individual
DR. EDWARD LAWRENCE RAMBOUSEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
381 NE MAIN ST, ESTACADA, OR 97023-8529
(503) 630-4234
(503) 630-4234
Mailing address
PO BOX 640, ESTACADA, OR 97023-0640
(503) 630-4234
(503) 630-4234
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO17804
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051479
—
OR
Enumeration date
11/16/2005
Last updated
07/08/2007
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