Individual
JAMES TODD ROSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, L467AD, PORTLAND, OR 97239-3011
(503) 494-5023
(503) 494-6875
Mailing address
PO BOX 4183, PORTLAND, OR 97208
(503) 494-6107
(503) 494-0470
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
14324
OR
207W00000X
Ophthalmology Physician
MD14324
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130450
—
OR
01
—
180041844
RAILROAD MEDICARE
—
Enumeration date
05/16/2006
Last updated
08/26/2011
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