Individual
DR. JACK PHILIP ROSOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(503) 297-6334
(503) 297-2360
Mailing address
9340 SW BARNES RD, SUITE 202, PORTLAND, OR 97225-6623
(503) 297-6334
(503) 297-2360
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
27476
AZ
207P00000X
Emergency Medicine Physician
MD15329
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033931
—
OR
05
—
367195
—
AZ
Enumeration date
11/08/2006
Last updated
06/27/2025
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