Organization
OREGON UROLOGY CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID R. ROSENCRANTZ M.D. (PHYSICIAN/SURGEON)
(503) 229-7722
Entity
Organization
Contact information
Practice address
3100 NE 28TH STREET SUITE C, LINCOLN CITY, OR 97367-4518
(503) 229-7722
(503) 222-5679
Mailing address
2222 NW LOVEJOY STREET SUITE 416, PORTLAND, OR 97210-5102
(503) 229-7722
(503) 222-5679
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD07089
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287875
—
OR
01
—
38D1047175
CLIA ID#
OR
Enumeration date
08/01/2008
Last updated
08/01/2008
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