Glen S Roseborough is a Surgery in Salem, Oregon. Glen S Roseborough practices all healthcare services and medical treatments related to Surgery. The NPI Number for Glen S Roseborough is 1518903186. The last update date is 2015-09-01.
Glen S Roseborough's current location address is 2480 Liberty St Ne, Salem, Oregon. You can contact this provider via phone number 5033711756 and fax number 5035847971. The mailing address for Glen S Roseborough is 2480 Liberty St Ne, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen S Roseborough |
|---|---|
| Address | 2480 Liberty St Ne, Salem, Oregon |
| Phone Number | 5033711756 |
| Fax Number | 5035847971 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1518903186 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2015-09-01 |
Provider Mailing Address Detail
| Address | 2480 Liberty St Ne |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973018381 |
| Phone Number | 5033711756 |
| Fax Number | 5035847971 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | MD150190 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500612667 | OR | -- | |
| P00800072 | OR | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Glen S Roseborough by the Centers for Medicare & Medicaid Services?
The Glen S Roseborough has been issued the NPI (National Provider Identifier) 1518903186 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Glen S Roseborough's physical address?
The Glen S Roseborough is physically located at 2480 Liberty St Ne, in the city of Salem, OR, with the postal code 973018381.
What is Glen S Roseborough's area of expertise and its corresponding taxonomy classification?
The Glen S Roseborough's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
When did Glen S Roseborough receive its 1518903186 assignment?
The Glen S Roseborough was assigned its 1518903186 on 2006-06-21, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Glen S Roseborough most recently updated or revised?
The details related to Glen S Roseborough, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-01.
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