Individual
ROBERT ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10123 SE MARKET, PORTLAND, OR 97216-2532
(503) 257-6132
(503) 251-6136
Mailing address
PO BOX 2097, PORTLAND, OR 97208
(503) 251-6132
(503) 251-6136
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD18108
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054572
—
OR
01
—
300383041
REGENCE BCBS
OR
05
—
8207193
—
WA
Enumeration date
06/08/2006
Last updated
12/05/2007
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