Rosenbaum, James Todd
Rosenbaum, James Todd is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd L467Ad, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Rosenbaum, James Todd can be contacted via phone (503) 494-5023.Contact Information
Primary practice address
3181 Sw Sam Jackson Park Rd L467Ad
Portland OR 97239-3011
Phone: (503) 494-5023
Fax: (503) 494-6875
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD14324 | Oregon |
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 14324 | Oregon |
Profile Details
| NPI number | 1962454280 |
|---|---|
| LBN Legal business name | Rosenbaum, James Todd |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Aug 26th, 2011 - about 14 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 | 1962454280 | NPPES |
| Oregon | MEDICAID | 130450 | |
| Oregon | Other | 180041844 |
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