O'Dell, Rolland E

O'Dell, Rolland E is an individual health care provider with primary practice located at 10201 Se Main St Suite 10, Portland OR 97216-2937. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. O'Dell, Rolland E can be contacted via phone (503) 257-0959.

Contact Information

Primary practice address
10201 Se Main St Suite 10 Portland OR 97216-2937
Phone: (503) 257-0959
Fax: (503) 257-3457
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X DO10251 Oregon

Profile Details

NPI number 1588656474
LBN Legal business name O'Dell, Rolland E
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Oct 19th, 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 1588656474 NPPES
Oregon MEDICAID 231597

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