Rosenbaum, Richard Barry

Rosenbaum, Richard Barry is an individual health care provider with primary practice located at 1600 Ne Broadway St , Portland OR 97232-1426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Rosenbaum, Richard Barry can be contacted via phone (503) 963-3100.

Contact Information

Primary practice address
1600 Ne Broadway St Portland OR 97232-1426
Phone: (503) 963-3100
Fax: (503) 459-5398
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD10679 Oregon

Profile Details

NPI number 1588656896
LBN Legal business name Rosenbaum, Richard Barry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Sep 16th, 2013 - about 12 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 1588656896 NPPES
Washington MEDICAID 1051580
Washington MEDICAID 235770

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