Rose-Innes, Andrew Peter

Rose-Innes, Andrew Peter is an individual health care provider with primary practice located at 1040 Nw 22Nd Ave Suite 420, Portland OR 97210-3057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Rose-Innes, Andrew Peter can be contacted via phone (503) 488-2424.

Contact Information

Primary practice address
1040 Nw 22Nd Ave Suite 420 Portland OR 97210-3057
Phone: (503) 488-2424
Fax: (503) 229-7105
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME165494 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD00043726 Washington
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD150664 Oregon

Profile Details

NPI number 1578649224
LBN Legal business name Rose-Innes, Andrew Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 21st, 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 1578649224 NPPES
Other 318500 INTERNAL ID-MOTOR VEHICLE ID
Other P00228213 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 8395964 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 500616010 INTERNAL ID-MOTOR VEHICLE ID

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