Rontal, Andrew David

Rontal, Andrew David is an individual health care provider with primary practice located at 5050 Ne Hoyt Suite 315, Portland OR 97213-2982. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Vascular Neurology is his primary health care specialty. Rontal, Andrew David can be contacted via phone (503) 215-8580.

Contact Information

Primary practice address
5050 Ne Hoyt Suite 315 Portland OR 97213-2982
Phone: (503) 215-8580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 39857 Montana
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 108649 Alaska
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD60478521 Washington
Allopathic & Osteopathic Physicians / Neurology 2084N0400X A140879 California
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD159845 Oregon
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X MD159845 Oregon

Profile Details

NPI number 1063657328
LBN Legal business name Rontal, Andrew David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2008
Last updated Nov 25th, 2022 - about 3 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 1063657328 NPPES
Oregon Other P01355678 RR MEDICARE (PH&S)-PMG
Oregon MEDICAID 500653063 RR MEDICARE (PH&S)-PMG

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