Individual
DR. LUIS FELIPE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13007 NE GLISAN ST, PORTLAND, OR 97230-2545
(503) 215-7866
(503) 215-7864
Mailing address
13007 NE GLISAN ST, PORTLAND, OR 97230-2545
(503) 215-7866
(503) 215-7864
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD26869
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11604802
—
TX
Enumeration date
08/10/2005
Last updated
09/30/2020
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