Individual
PHILIP A. ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2973 12TH STREET SE, SALEM, OR 97302-3162
(503) 561-7100
(503) 561-7124
Mailing address
2973 12TH STREET SE, SALEM, OR 97302-3162
(503) 561-7100
(503) 561-7124
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
0101247217
VA
208800000X
Urology Physician
0438559
KS
208800000X
Urology Physician
14047
ND
208800000X
Urology Physician
Primary
MD185934
OR
Other
Enumeration date
06/23/2008
Last updated
07/23/2019
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