Provider Demographics
NPI:1467454025
Name:ONWERE, IKE ARMSTRONG (MD)
Entity type:Individual
Prefix:
First Name:IKE
Middle Name:ARMSTRONG
Last Name:ONWERE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 NW ELKS DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3757
Mailing Address - Country:US
Mailing Address - Phone:541-768-4950
Mailing Address - Fax:541-768-4951
Practice Address - Street 1:501 NW ELKS DR
Practice Address - Street 2:SUITE 100
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-3757
Practice Address - Country:US
Practice Address - Phone:541-768-4950
Practice Address - Fax:541-768-4951
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2016-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD150690207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100768880IMedicaid
OK20003300AMedicaid
OK248421004Medicare ID - Type Unspecified
OK20003300AMedicaid