Individual
TERRY D ROLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 NE MEDICAL CENTER DR, BEND, OR 97701-6099
(541) 382-4900
Mailing address
PO BOX 6048, BEND, OR 97708-6048
(541) 382-4900
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2004032538
MO
2084N0400X
Neurology Physician
Primary
MD212800
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209425503
—
MO
05
—
500812704
—
OR
01
—
P00223849
RR MEDICARE
MO
01
—
P00415742
RAILROAD MEDICARE
MO
Enumeration date
05/01/2006
Last updated
01/05/2023
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