Active NPI
Junlong Ren, M.D.
- Physical Medicine & Rehabilitation Physician
- White City, OR
National Provider Identifier
1912929100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A82445
- Practice address
- 8433 Crater Lake High Way
Apt C, Box # 9
White City, OR 97503-3036 - Phone
- (541) 826-5076
- Fax
- (541) 826-5076
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | A82445 | CA | Primary |
Addresses
Primary practice location
8433 Crater Lake High Way
Apt C, Box # 9
White City, OR 97503-3036
Mailing address
8433 Crater Lake High Way
Apt C, Box # 9
White City, OR 97503
Phone (541) 826-5076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A82445 | CA | MD | Physical Medicine & Rehabilitation Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912929100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8433 CRATER LAKE HIGH WAY",
"address_2": "APT C, BOX # 9",
"city": "WHITE CITY",
"state": "OR",
"postal_code": "97503",
"telephone_number": "541-826-5076",
"fax_number": "541-826-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8433 CRATER LAKE HIGH WAY",
"address_2": "APT C, BOX # 9",
"city": "WHITE CITY",
"state": "OR",
"postal_code": "975033036",
"telephone_number": "541-826-5076",
"fax_number": "541-826-5076"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REN",
"first_name": "JUNLONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A82445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White City, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.