Individual
DR. RODNEY WAYNE DODGE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1111
Mailing address
3655 SW TUNNELWOOD ST, PORTLAND, OR 97221-4146
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD16690
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011697
—
OR
Enumeration date
06/06/2006
Last updated
07/08/2007
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