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Individual

HECTOR MANUEL RODRIGUEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

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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