Bonafede, Rosario P
Bonafede, Rosario P is an individual health care provider with primary practice located at 5050 Ne Hoyt St Ste 155, Portland OR 97213-2956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Bonafede, Rosario P can be contacted via phone (503) 215-6819.Contact Information
Primary practice address
5050 Ne Hoyt St Ste 155
Portland OR 97213-2956
Phone: (503) 215-6819
Fax: (503) 215-6492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | MD16090 | Oregon |
Profile Details
| NPI number | 1730125667 |
|---|---|
| LBN Legal business name | Bonafede, Rosario P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Oct 8th, 2021 - about 4 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 | 1730125667 | NPPES |
| Other | P00745121 | RR MEDICARE | |
| MEDICAID | 054416 | RR MEDICARE |
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