Individual
HECTOR MANUEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1820 SW VERMONT ST, SUITE A, PORTLAND, OR 97219-1945
(503) 977-9838
(503) 977-9624
Mailing address
1820 SW VERMONT ST, SUITE A, PORTLAND, OR 97219-1945
(503) 977-9838
(503) 977-9624
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO17335
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001424435
HIGHMARK BCBS
OR
01
—
0071287
WASHINGTON DEPT L & I
—
05
—
063235
—
OR
01
—
1699495
CIGNA
OR
01
—
302840
PROVIDENCE HEALTH PLAN
OR
01
—
4525022
AETNA
OR
01
—
K867001
PACIFIC SOURCE
OR
01
—
M5745
HEALTHNET OF OREGON
OR
Enumeration date
03/02/2007
Last updated
07/09/2007
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