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Individual

ROBERT C TRUEWORTHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, CDREP, PORTLAND, OR 97239-3011
(503) 494-1543
(503) 494-0714
Mailing address
3181 SW SAM JACKSON PARK RD, CDREP, PORTLAND, OR 97239-3011
(503) 494-1543
(503) 494-0714

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD27807
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05007015
BCBS KANSAS CITY
MO
05
20113307
MO
01
627240
FIRSTGUARD
Enumeration date
08/31/2006
Last updated
12/11/2007
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