Rose, Robert A
Rose, Robert A is an sole proprietor health care provider with primary practice located at 2365 Sw Cedar Hills Blvd , Portland OR 97225-4534. He recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as his primary health care specialty. Rose, Robert A can be contacted via phone (503) 297-7000.Contact Information
Primary practice address
2365 Sw Cedar Hills Blvd
Portland OR 97225-4534
Phone: (503) 297-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse First Assistant | 163WR0006X | 201405725 | Oregon |
Profile Details
| NPI number | 1740799592 |
|---|---|
| LBN Legal business name | Rose, Robert A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2017 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740799592 | NPPES |
| Oregon | MEDICAID | ME401E9R00 |
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