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Organization

RONALD W. POWELL, D.O.,P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLENDA C. MONROE (OFFICE MANAGER)
(503) 657-3158
Entity
Organization

Contact information

Practice address
1673 10TH ST, WEST LINN, OR 97068-4607
(503) 657-3158
(503) 657-4579
Mailing address
1673 10TH ST, WEST LINN, OR 97068-4607
(503) 657-3158
(503) 657-4579

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO11790
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
218545
OR
Enumeration date
09/12/2007
Last updated
09/12/2007
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