Douglas Runckel, M.D

NPI 1508974932 · on the registry since 2006 · sole proprietor

Practice

Address: 13705 Ne Airport Way Ste C
Portland, OR 97230
Phone: (503) 258-6846
Fax: (503) 258-6864
Organisation at this address: Kaiser Foundation Health Plan Of The Northwest
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: 207ZP0102X
207ZP0102X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon