Sydney E Rose M.D.

NPI 1174811962 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1174811962
Gender Female
Enumeration Date 07/14/2011
Last Updated 10/22/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
HRC 5TH FL
PORTLAND OR, 97239-3011, US
Phone (503) 494-8311
Fax
Business Location
3181 SW SAM JACKSON PARK RD
HRC 5TH FL
PORTLAND OR, 97239-3011, US
Phone (503) 494-8311
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Sydney E Rose M.D. NPI is 1174811962, taxonomy code is 390200000X Sydney E Rose M.D. physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Sydney E Rose M.D. has the Individual type.

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1174811962 NPI number is provided on an as is basis without warranty of any kind. 1174811962 is maintained by the National Plan & Provider Enumeration System. The contents of Sydney E Rose M.D. are for informational purposes only.