NPIMap

Individual provider Active NPI

Ronald C Fraback, MD

  • Rheumatology Physician
  • Portland, OR
National Provider Identifier
1639279250
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD07991 Issued in OR
Practice address
5050 NE Hoyt St Ste 155
Portland, OR 97213-2956
Phone
(503) 215-6819
NPI assigned
Sep 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X MD07991 OR Primary

Addresses

Primary practice location

5050 NE Hoyt St Ste 155
Portland, OR 97213-2956

Mailing address

5050 NE Hoyt St Ste 155
Portland, OR 97213-2956

Other identifiers 1

IdentifierTypeStateIssuer
64790MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, AZ, WA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050730000008 OR Practitioner - Rheumatology 4284529868 Reassigns benefits to 1 organization
I20190221003010 AZ Practitioner - Rheumatology 4284529868 Reassigns benefits to 1 organization
I20210823002691 WA Practitioner - Rheumatology 4284529868 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Oregon Health Sciences University School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

22180 Olympic College Way NW
Suite 102
Poulsbo, WA 98370-6664
Phone (360) 779-4444

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Nov 15, 2018 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Providence Health & Services - Oregon CurrentSince Mar 9, 2026 Accepting new patients
District Medical Group, Inc CurrentSince Nov 15, 2018 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince Sep 13, 2021 Accepting new patients
The Vancouver Clinic Inc PS Family Medicine CurrentSince Sep 13, 2021 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Mar 21, 2023 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 9, 2026 Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

9155 SW Barnes Rd
Ste 314
Portland, OR 97225
Phone (503) 297-3384

5050 NE Hoyt St
Ste 155
Portland, OR 97213
Phone (503) 215-6819

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

22180 Olympic College Way NW
Ste 102
Poulsbo, WA 98370
Phone (360) 779-4444

1950 NW Myhre Rd
Fl 2
Silverdale, WA 98383
Phone (564) 240-4000

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1639279250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST STE 155",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST STE 155",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132956",
            "telephone_number": "503-215-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRABACK",
        "first_name": "RONALD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-24",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OR",
            "license": "MD07991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64790",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.