Organization
OREGON UROLOGY CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R ROSENCRANTZ MD (PHYSICIAN SURGEON)
(503) 229-7722
Entity
Organization
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 416, PORTLAND, OR 97210-5102
(503) 229-7722
(503) 222-5679
Mailing address
2222 NW LOVEJOY ST, SUITE 416, PORTLAND, OR 97210-5102
(503) 229-7722
(503) 222-5679
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD07089
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000920001
BLUE CROSS OF OREGON
OR
05
—
287875
—
OR
01
—
340015578
RAIL ROAD MEDICARE PORTLA
OR
Enumeration date
03/27/2007
Last updated
04/25/2008
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