Individual
ANTHONY B RATANAPROEKSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1631 NE BROADWAY, #413, PORTLAND, OR 97232-1425
(503) 807-6532
Mailing address
1631 NE BROADWAY, #413, PORTLAND, OR 97232-1425
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD126237
OR
Other
Enumeration date
07/13/2007
Last updated
02/09/2011
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