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:
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Health care specialties

SpecialtyCodeLicense #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 2 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 1659798932 NPPES
Oregon MEDICAID 500767322
Oregon MEDICAID 2138897

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