Organization Active NPI

Ronald W. Powell, D.O.,P.C.

  • Family Medicine Physician
  • West Linn, OR
National Provider Identifier
1841485869
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO11790 Issued in OR
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

Updated by the provider on Sep 12, 2007

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
218545MedicaidOR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.