Waldman, James Roger
Waldman, James Roger is an individual health care provider with primary practice located at 10819 Se Stark St Suite 200, Portland OR 97216-3161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Waldman, James Roger can be contacted via phone (503) 255-2291.Contact Information
Primary practice address
10819 Se Stark St Suite 200
Portland OR 97216-3161
Phone: (503) 255-2291
Fax: (503) 252-1797
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD10055 | Oregon |
Profile Details
| NPI number | 1497737027 |
|---|---|
| LBN Legal business name | Waldman, James Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Nov 17th, 2009 - about 17 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 | 1497737027 | NPPES |
| Oregon | MEDICAID | 241414 |
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