Provider Demographics
NPI:1083819312
Name:RONALD L. TEED, M.D., P.C.
Entity Type:Organization
Organization Name:RONALD L. TEED, M.D., P.C.
Other - Org Name:CASCADE ORTHOPEDIC SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:TEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-681-9676
Mailing Address - Street 1:425 SE BASELINE ST
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4103
Mailing Address - Country:US
Mailing Address - Phone:503-681-9676
Mailing Address - Fax:503-615-0434
Practice Address - Street 1:425 SE BASELINE ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4103
Practice Address - Country:US
Practice Address - Phone:503-681-9676
Practice Address - Fax:503-615-0434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR18460207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1407937626OtherINDIVIDUAL NPI
ORF68468Medicare UPIN