Boris M Rozenberg, DO | |
9135 Sw Barnes Rd Ste 668, Portland, OR 97225-6683 | |
(503) 216-8250 | |
Not Available |
Full Name | Boris M Rozenberg |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 6 Years |
Location | 9135 Sw Barnes Rd Ste 668, Portland, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861982530 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | DO205759 (Oregon) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence St Vincent Medical Center | Portland, OR | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Providence Health And Services Oregon | 0648183608 | 1344 |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Entity Name | Providence Health & Services Oregon |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153 |
Mailing Address | Practice Location Address |
---|---|
Boris M Rozenberg, DO Po Box 3158, Portland, OR 97208-3158 Ph: (503) 717-7147 | Boris M Rozenberg, DO 9135 Sw Barnes Rd Ste 668, Portland, OR 97225-6683 Ph: (503) 216-8250 |
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