Ram Clinic Inc.

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

RAM CLINIC INC.

Practice address

3610 NE 82ND Ave
Portland, OR 97220-5120

Phone

(503) 408-9585

Fax

(503) 408-9456

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Viccie Boeckel, CDAC2

Title

Director/Owner

Phone

(503) 408-9585

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992897193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 NE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205120",
            "telephone_number": "503-408-9585",
            "fax_number": "503-408-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 NE 82ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972205120",
            "telephone_number": "503-408-9585",
            "fax_number": "503-408-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAM CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOECKEL",
        "authorized_official_first_name": "VICCIE",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "503-408-9585",
        "authorized_official_credential": "CDAC2"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "170140",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Rales
• Jeremy Shawnte Ralls, CSWA
• Ralph L Burke Jr M D P C
• Amelia Ralston
• Gregory Lee Ralston, M.D.
• Ranjita B Ram- Geistlinger, PCA
• Banu K Ramachandran, MD
• Nikita Ramakrishnan, PH.D.
• Padma S Raman-Caplan
• Roneil Raman

• Methadone Clinic in Portland, OR
• Providers in Portland, OR by specialty
• Methadone Clinic in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.