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General NPI Number Information
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NPI Number | 1639279250
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Entity Type | Individual
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Provider Name | RONALD C FRABACK MD
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Gender | Male
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Dates
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Enumeration Date | 09/24/2006
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 5050 NE HOYT ST STE 155
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City | PORTLAND
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State | OR
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Zip | 97213-2956
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Country | US
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Telephone | 503-215-6819
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Fax |
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Provider Business Mailing Address
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Address Line | 5050 NE HOYT ST STE 155
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City | PORTLAND
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State | OR
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Zip | 97213-2956
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD07991
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License Number State | OR
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