Palm, Ronald Matthew

Palm, Ronald Matthew is an individual health care provider with primary practice located at 550 Dietz Ave Ne , Keizer OR 97303-4615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Palm, Ronald Matthew can be contacted via phone (503) 393-0540.

Contact Information

Primary practice address
550 Dietz Ave Ne Keizer OR 97303-4615
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO25302 Oregon

Profile Details

NPI number 1326174301
LBN Legal business name Palm, Ronald Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326174301 NPPES
Oregon MEDICAID 232446

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