Individual
PAUL ROSTYKUS
Active
Individual
PAUL ROSTYKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD15433
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023507000
BC/BS OF OREGON
—
05
—
170084
—
OR
01
—
930079052
RAILROAD MEDICARE
—
01
—
97520A006
CHAMPUS
—
01
—
B42699
GROUP HEALTH
—
01
—
XPY185097
MEDI CAL
—
Enumeration date
04/04/2006
Last updated
02/21/2011
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