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Contact Information

CASEY J RUCKER, MD
1001 PROVIDENCE DRIVE
PNMC EMERGENCY DEPARTMENT
NEWBERG, OR97132
 Phone: 503-537-1785
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for CASEY J RUCKER · (Male)

NPI # 1770614992
Status Active
Credentials MD
Entity Individual
Enumeration date 03/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # 15680
Hospital affiliation(s)
  • BAY AREA HOSPITAL - (Acute Care)
    1775 THOMPSON ROAD
    COOS BAY, OR 97420
  • KAISER SUNNYSIDE MEDICAL CENTER - (Acute Care)
    10180 SE SUNNYSIDE ROAD
    CLACKAMAS, OR 97015
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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