Lannon, Sophia Margareta Rothberger

Lannon, Sophia Margareta Rothberger is an individual health care provider with primary practice located at 5050 Ne Hoyt St Suite 230, Portland OR 97213-2991. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Lannon, Sophia Margareta Rothberger can be contacted via phone (503) 482-1800.

Contact Information

Primary practice address
5050 Ne Hoyt St Suite 230 Portland OR 97213-2991
Phone: (503) 482-1800
Fax: (503) 482-1805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD171676 Oregon

Profile Details

NPI number 1508061003
LBN Legal business name Lannon, Sophia Margareta Rothberger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2007
Last updated Jul 21st, 2022 - 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 1508061003 NPPES
Washington Other 0239220 L&I
Washington Other R185240 L&I
Washington MEDICAID 1508061003 L&I
Washington MEDICAID 500668537 L&I

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