Individual
DR. RICHARD I ECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
706 NE EVANS ST, MCMINNVILLE, OR 97128-3926
(503) 472-1405
(503) 434-5950
Mailing address
706 NE EVANS ST, MCMINNVILLE, OR 97128-3926
(503) 472-1405
(503) 434-5950
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD11786
OR
207ND0101X
MOHS-Micrographic Surgery Physician
MD11786
OR
207ND0900X
Dermatopathology Physician
MD11786
OR
207NS0135X
Procedural Dermatology Physician
MD11786
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
168823
OMAP
OR
01
—
287583
OMAP
OR
01
—
5512000
BLUE CROSS OF OR
OR
01
—
R0000BHKMS
MEDICARE ID
OR
Enumeration date
05/24/2005
Last updated
12/03/2007
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