Individual
HOWARD SCOTT ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16110 SW REGATTA LN, BEAVERTON, OR 97006-8942
(503) 629-2131
(503) 617-9379
Mailing address
PO BOX 42510, PORTLAND, OR 97242-0510
(503) 963-1290
(503) 230-1541
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15984
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0541230002
BLUE CROSS
—
01
—
116400
MANAGED HEALTH NETWORK
—
Enumeration date
07/21/2006
Last updated
07/08/2007
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