| Robert S. Rath M.d.,p.c. | |
|
14125 Sw Farmington Rd Beaverton OR 97005-2567 | |
| (503) 643-2000 | |
| (503) 641-9284 |
| Full Name | Robert S. Rath M.d.,p.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 14125 Sw Farmington Rd, Beaverton, Oregon |
| Authorized Official Name and Position | Robert Stuart Rath (PRESIDENT) |
| Authorized Official Contact | 5036432000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert S. Rath M.d.,p.c. 14125 Sw Farmington Rd Beaverton OR 97005-2567 Ph: (503) 643-2000 | Robert S. Rath M.d.,p.c. 14125 Sw Farmington Rd Beaverton OR 97005-2567 Ph: (503) 643-2000 |
| NPI Number | 1588783799 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2567621618 |
|---|---|
| Medicare Enrollment ID | O20120308000327 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588783799 | NPI | - | NPPES |
| 22647-2 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | MD12626 (Oregon) | Primary |
| Provider Name | Robert S Rath |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174642367 PECOS PAC ID: 2466611538 Enrollment ID: I20120308000473 |
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