Active NPI
Ronald W. Powell, D.O.,P.C.
- Family Medicine Physician
- West Linn, OR
National Provider Identifier
1841485869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO11790
- Legal business name
- RONALD W. POWELL, D.O.,P.C.
- Practice address
- 1673 10TH St
West Linn, OR 97068-4607 - Phone
- (503) 657-3158
- Fax
- (503) 657-4579
- NPI assigned
- Sep 12, 2007
- 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
- Mrs. Glenda C. Monroe
- Title
- Office Manager
- Phone
- (503) 657-3158
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO11790 | OR | Primary |
Addresses
Primary practice location
1673 10TH St
West Linn, OR 97068-4607
Mailing address
1673 10TH St
West Linn, OR 97068-4607
Phone (503) 657-3158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218545 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
1673 10th St
Ste A
West Linn, OR 97068
Phone (503) 305-7231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189555200000",
"number": "1841485869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1673 10TH ST",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970684607",
"telephone_number": "503-657-3158",
"fax_number": "503-657-4579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1673 10TH ST",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970684607",
"telephone_number": "503-657-3158",
"fax_number": "503-657-4579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD W. POWELL, D.O.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-12",
"last_updated": "2007-09-12",
"status": "A",
"authorized_official_last_name": "MONROE",
"authorized_official_first_name": "GLENDA",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "503-657-3158",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OR",
"license": "DO11790",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218545",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.