Individual
DR. STUART M ROSENBLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
707 SW WASHINGTON ST, SUITE 700, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 2040, PORTLAND, OR 97208-2040
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD13567
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD13567
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050049041
RR MEDICARE
OR
05
—
054554
—
OR
05
—
1123108
—
WA
05
—
G505502
—
ID
05
—
MD356OR
—
AK
Enumeration date
04/17/2006
Last updated
09/11/2013
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