Individual
ANDREW PETER ROSE-INNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 NW 22ND AVE, SUITE 420, PORTLAND, OR 97210-3057
(503) 488-2424
(503) 229-7105
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD00043726
WA
2084N0400X
Neurology Physician
Primary
MD150664
OR
2084N0400X
Neurology Physician
ME165494
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
318500
INTERNAL ID-MOTOR VEHICLE ID
—
05
—
500616010
—
OR
05
—
8395964
—
WA
01
—
P00228213
RAIL ROAD MEDICARE
WA
Enumeration date
10/27/2006
Last updated
12/21/2023
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