Dr. Ronald Edward Mertens, md
Psychiatry & Neurology, Neurology in Portland, OR. Individual provider (NPI-1).
NPI number1104935014
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104935014
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ronald Edward Mertens
- Credential
- md
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Last updated
- Jul 8, 2007
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 |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | MD12580 | OR | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | MD00035084 | WA |
Practice location
3550 N Interstate AvePortland, OR 97227-1196
Phone 503-285-9321 · Fax 503-249-5528
Mailing address
3339 Sw Carolina StPortland, OR 97239-6812
Phone 503-245-5060
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.
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