Medak, Ruth Ellen

Medak, Ruth Ellen is an sole proprietor health care provider with primary practice located at 2801 N Gantenbein Ave , Portland OR 97227-1623. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Medak, Ruth Ellen can be contacted via phone (503) 413-6862.

Contact Information

Primary practice address
2801 N Gantenbein Ave Portland OR 97227-1623
Phone: (503) 413-6862
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD09230 Oregon
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD09230 Oregon

Profile Details

NPI number 1245470640
LBN Legal business name Medak, Ruth Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 24th, 2009
Last updated May 12th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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