Individual
JOEL ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 575-2521
(503) 389-7997
Mailing address
PO BOX 10768, PORTLAND, OR 97296-0768
(503) 575-2521
(503) 389-7997
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301103073
MI
2085R0202X
Diagnostic Radiology Physician
Primary
MD198630
OR
Other
Enumeration date
05/29/2013
Last updated
11/01/2021
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