Individual
DR. MARVIN - ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
131 NE 102ND AVE, PORTLAND, OR 97220-4167
(503) 253-6754
(503) 253-8020
Mailing address
6663 SW BEAVERTON HILLSDALE HWY PMB #291, PORTLAND, OR 97225-1403
(503) 396-6661
(503) 296-6661
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
8156
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165-175
—
OR
Enumeration date
08/04/2006
Last updated
07/08/2007
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