Individual
DR. ROBERT G ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2275 NE DOCTORS DR STE 7, BEND, OR 97701-6324
(541) 706-3780
(541) 598-3492
Mailing address
PO BOX 5579, BEND, OR 97708-5579
(541) 706-6623
(541) 526-6626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19428
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059575000
BLUE CROSS ID
OR
05
—
077107
—
OR
01
—
080076691
MEDICARE RAILROAD
OR
05
—
XPY187257
—
CA
Enumeration date
06/23/2006
Last updated
07/25/2025
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