Robertson, Joseph Edmund
Robertson, Joseph Edmund is an individual health care provider with primary practice located at 3375 Sw Terwilliger Blvd , Portland OR 97239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Robertson, Joseph Edmund can be contacted via phone (503) 494-3056.Contact Information
Primary practice address
3375 Sw Terwilliger Blvd
Portland OR 97239
Phone: (503) 494-3056
Fax: (503) 494-7233
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD 13258 | Oregon |
Profile Details
| NPI number | 1861444192 |
|---|---|
| LBN Legal business name | Robertson, Joseph Edmund |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Apr 25th, 2008 - about 18 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 | 1861444192 | NPPES |
| Oregon | Other | 110603 | MEDICARE IDTF |
| Oregon | Other | 180040670 | MEDICARE IDTF |
| Oregon | MEDICAID | 280230 | MEDICARE IDTF |
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