Hodson, Robert Walter

Hodson, Robert Walter is an individual health care provider with primary practice located at 1111 Ne 99Th Ave Suite 201, Portland OR 97220-9428. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Hodson, Robert Walter can be contacted via phone (503) 962-1000.

Contact Information

Primary practice address
1111 Ne 99Th Ave Suite 201 Portland OR 97220-9428
Phone: (503) 962-1000
Fax: (503) 963-3005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD15386 Oregon
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X MD15386 Oregon

Profile Details

NPI number 1699767137
LBN Legal business name Hodson, Robert Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Nov 15th, 2021 - about 4 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 1699767137 NPPES
Oregon MEDICAID 153825

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