Barbosa, Ronald Robert

Barbosa, Ronald Robert is an individual health care provider with primary practice located at 300 N Graham St Ste 125 , Portland OR 97227-1683. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Barbosa, Ronald Robert can be contacted via phone (503) 413-3714.

Contact Information

Primary practice address
300 N Graham St Ste 125 Portland OR 97227-1683
Phone: (503) 413-3714
Fax: (503) 413-2061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A75479 California
Allopathic & Osteopathic Physicians / Surgery 208600000X MD26735 Oregon

Profile Details

NPI number 1134104961
LBN Legal business name Barbosa, Ronald Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Nov 19th, 2019 - about 7 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 1134104961 NPPES
California MEDICAID 00A75479

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