Ruth Ellen Medak
Internist Hospice and Palliative Medicine
2801 N Gantenbein Ave
Portland
, Oregon 97227-1623
Ruth Ellen Medak
Internist Hospice and Palliative Medicine
2801 N Gantenbein Ave
Portland
, Oregon 97227-1623
(503) 413-3710
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Ruth Ellen Medak
- Po Box 3777
- Portland, OR
- Zip : 97208-3777
- Fax : (503) 413-3710
- Phone : (503) 413-3900
Second Address
- Ruth Ellen Medak
- 2801 N Gantenbein Ave
- Portland, OR
- Zip : 97227-1623
- Phone : (503) 413-6862
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | MD09230 | OR |
| N | 111NI0900X | Internist | MD09230 | OR |
| Y | 207RH0002X | Hospice and Palliative Medicine | MD09230 | OR |
National Provider Identifier
| NPI | 1245470640 |
|---|---|
| Provider Name | Ruth Ellen Medak |
| First Address | Portland, OR 97208-3777 |
| Second Address | Portland, OR 97227-1623 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/02/2009 |
| Last Update Date | 12/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.