Individual
SALLY ANN ROSENFELD I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2701 NW VAUGHN ST, SUITE 160, PORTLAND, OR 97210-5311
(503) 499-5200
Mailing address
2701 NW VAUGHN ST, SUITE 160, PORTLAND, OR 97210-5311
(503) 721-6800
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
OR MD16230
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
WA MD00035607
WA
Other
Enumeration date
10/04/2006
Last updated
07/11/2007
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