Dr. Ronald David Prauner, M.D.

Pediatrics, Pediatric Hematology-Oncology in Portland, OR. Individual provider (NPI-1).

NPI number1104885409

StatusActive

Last updated in NPPESSep 30, 2015

Details

NPI: 1104885409
Entity type: Individual (NPI-1)
Name: Dr. Ronald David Prauner
Credential: M.D.
Sex: Male
Sole proprietor: No
Enumeration date: Mar 23, 2006
Last updated: Sep 30, 2015

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2080P0207X	Pediatrics, Pediatric Hematology-Oncology	18379	NE	Yes

Practice location

2801 N. Gantenbein Ave, 3rd Floor
Portland, OR 97227

Phone 503-276-9300 · Fax 503-276-9351

Mailing address

2801 N. Gantenbein Ave, 3rd Floor
Portland, OR 97227

Phone 503-276-9300 · Fax 503-276-9351

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatric Hematology & Oncology Physician providers in Portland, OR

All 35 Pediatric Hematology & Oncology Physician providers in Portland · All 48,847 providers in Portland

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