Rosborough, Todd Michael

Rosborough, Todd Michael is an individual health care provider with primary practice located at 135 Ne 102Nd Ave , Portland OR 97220-4167. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Rosborough, Todd Michael can be contacted via phone (503) 255-5388.

Contact Information

Primary practice address
135 Ne 102Nd Ave Portland OR 97220-4167
Phone: (503) 255-5388
Fax: (503) 255-5085
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00576 Oregon

Profile Details

NPI number 1922089580
LBN Legal business name Rosborough, Todd Michael
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 2007 - about 18 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 1922089580 NPPES
Washington Other 0131007 WA LABOR INDUSTRIES

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