Pedraza Rosales, Rodrigo
Pedraza Rosales, Rodrigo is an individual health care provider with primary practice located at 4805 Ne Glisan St Ste 6N60 , Portland OR 97213-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Pedraza Rosales, Rodrigo can be contacted via phone (503) 281-0561.Contact Information
Primary practice address
4805 Ne Glisan St Ste 6N60
Portland OR 97213-2933
Phone: (503) 281-0561
Fax: (503) 416-7377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | MD198032 | Oregon |
Profile Details
| NPI number | 1659798932 |
|---|---|
| LBN Legal business name | Pedraza Rosales, Rodrigo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2014 |
| Last updated | Dec 7th, 2023 - about last year |
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 | 1659798932 | NPPES |
| Oregon | MEDICAID | 500767322 | |
| Oregon | MEDICAID | 2138897 |
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