Fonken, Royce Leon

Fonken, Royce Leon is an individual health care provider with primary practice located at 1306 Division St , Oregon City OR 97045-1523. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fonken, Royce Leon can be contacted via phone (503) 656-4221.

Contact Information

Primary practice address
1306 Division St Oregon City OR 97045-1523
Phone: (503) 656-4221
Fax: (503) 656-4249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD14414 Oregon

Profile Details

NPI number 1134101215
LBN Legal business name Fonken, Royce Leon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Nov 17th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134101215 NPPES
Oregon MEDICAID 212779

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