Individual
JUSTIN E ROSENFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
(800) 813-2000
(855) 524-5255
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101240270
VA
207P00000X
Emergency Medicine Physician
Primary
MD27693
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015388000
BCBS
—
01
—
241526
MARION POLK CHP
—
05
—
241526
—
OR
05
—
8493280
—
WA
Enumeration date
05/31/2007
Last updated
08/04/2025
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