Individual
CAMILO ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2055 EXCHANGE ST, ASTORIA, OR 97103-3419
(503) 338-4670
(503) 338-4671
Mailing address
2111 EXCHANGE ST, ASTORIA, OR 97103-3329
(503) 325-4321
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
6550
HI
208600000X
Surgery Physician
Primary
27153
OR
Other
Enumeration date
08/30/2006
Last updated
04/01/2020
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