Rosenbloom, Jay S.

Rosenbloom, Jay S. is an individual health care provider with primary practice located at 2525 Nw Lovejoy St Ste 200, Portland OR 97210-2863. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Rosenbloom, Jay S. can be contacted via phone (503) 227-0671.

Contact Information

Primary practice address
2525 Nw Lovejoy St Ste 200 Portland OR 97210-2863
Phone: (503) 227-0671
Fax: (503) 227-0676
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD21098 Oregon

Profile Details

NPI number 1992701254
LBN Legal business name Rosenbloom, Jay S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jul 8th, 2007 - about 19 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 1992701254 NPPES
Oregon MEDICAID 134246

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