Individual
DR. SCOTT ROHRBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 252-2004
Mailing address
PO BOX 5275, PORTLAND, OR 97208-5275
(888) 828-3196
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD25742
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213438
—
OR
05
—
8439531
—
WA
01
—
858543014
REGENCE BC & BS
—
01
—
P00298798
RAILROAD MEDICARE
—
Enumeration date
05/11/2006
Last updated
11/29/2022
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