IndividualActive
Douglas Runckel, M.D.
NPI 1508974932 · Anatomic Pathology & Clinical Pathology Physician · Portland, OR
Provider details
- NPI number
- 1508974932
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- OR MD09235 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
13705 Ne Airport Way Ste C
Portland, OR 97230-1048
Phone: (503) 258-6846
Fax: (503) 258-6864
Approximate (ZIP-level) locationGet directions
Mailing address
3419 Pringle Rd Se
Salem, OR 97302-2649
Registry dates
- Enumerated
- 2006-08-27
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.