Alberty, Roger Ellis
Alberty, Roger Ellis is an individual health care provider with primary practice located at 800 Sw 13Th Ave , Portland OR 97205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Alberty, Roger Ellis can be contacted via phone (503) 221-0161.Contact Information
Primary practice address
800 Sw 13Th Ave
Portland OR 97205
Phone: (503) 221-0161
Fax: (503) 221-4451
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD08496 | Oregon |
Profile Details
| NPI number | 1679605315 |
|---|---|
| LBN Legal business name | Alberty, Roger Ellis |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679605315 | NPPES |
| Oregon | MEDICAID | 262345 |
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