Rodriguez Moreno, Jose Ildefonso

Rodriguez Moreno, Jose Ildefonso is an individual health care provider with primary practice located at 2900 State St Ste 101 , Medford OR 97504-8458. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Rodriguez Moreno, Jose Ildefonso can be contacted via phone (541) 789-5790.

Contact Information

Primary practice address
2900 State St Ste 101 Medford OR 97504-8458
Phone: (541) 789-5790
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 267707 Massachusetts
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD202077 Oregon

Profile Details

NPI number 1891148854
LBN Legal business name Rodriguez Moreno, Jose Ildefonso
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Jul 14th, 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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