Active NPI
Ronald L Spangler, MD, PC
- Psychiatry Physician
- Portland, OR
National Provider Identifier
1417035767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD16696
- Legal business name
- RONALD L SPANGLER, MD, PC
- Practice address
- 4805 NE Glisan St
3E
Portland, OR 97213-2933 - Phone
- (503) 624-2600
- NPI assigned
- Nov 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ronald L Spangler, MD
- Title
- Owner
- Phone
- (503) 624-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD16696 | OR | Primary |
Addresses
Primary practice location
4805 NE Glisan St
3E
Portland, OR 97213-2933
Mailing address
3439 NE Sandy Blvd
PMB 375
Portland, OR 97232-1959
Phone (503) 284-8841
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1110691 | Medicaid | WA | |
| 011408 | Medicaid | OR |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221782400000",
"number": "1417035767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3439 NE SANDY BLVD",
"address_2": "PMB 375",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972321959",
"telephone_number": "503-284-8841",
"fax_number": "503-282-3302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 NE GLISAN ST",
"address_2": "3E",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132933",
"telephone_number": "503-624-2600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD L SPANGLER, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-02",
"last_updated": "2008-09-19",
"status": "A",
"authorized_official_last_name": "SPANGLER",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-624-2600",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD16696",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1110691",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "011408",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.