ROBERT ALAN ROSENBAUM MD NPI 1255324596

NPI Information

NPI: 1255324596
Provider Name: ROBERT ALAN ROSENBAUM, MD
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Address:
5050 NE HOYT ST
SUITE 315
PORTLAND, OR
ZIP 97213
Phone: (503) 963-3100
Get Directions

Robert Alan Rosenbaum, MD is a neurology psychiatry neurology in Portland, OR. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Robert Alan Rosenbaum, MD NPI is 1255324596. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5050 NE HOYT ST
SUITE 315
PORTLAND, OR
ZIP 97213-991
Phone: (503) 963-3100
Fax: (503) 215-2375

The enumeration date for this NPI number is 8/23/2005 and was last updated on 11/5/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	MD08362	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1302231	MEDICAID	WASHINGTON
2	013WDBBFC	MEDICARE ID-TYPE UNSPECIFIED	OREGON
3	236448	MEDICAID	OREGON
4	143443	MEDICARE PIN	OREGON
5	C91163	MEDICARE UPIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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