Individual
DR. JOSEPH ROZENBOOM SHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1050 WEST ELM STREET,, SUITE 230, HERMISTON, OR 97838
(888) 468-0022
(541) 504-3907
Mailing address
442 SW UMATILLA AVE., REDMOND, OR 97756
(888) 468-0022
(541) 504-3907
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9585
OR
122300000X
Dentist
D9585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500641670
—
OR
Enumeration date
06/29/2011
Last updated
02/16/2012
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