Ilan Jose Rothman in Portland - Student In An Organized Health Care Education/training Program

Ilan Jose Rothman - NPI 1447440433

Ilan Jose Rothman is a Student In An Organized Health Care Education/training Program in Portland, Oregon. Ilan Jose Rothman practices all healthcare services and medical treatments related to Student In An Organized Health Care Education/training Program. The NPI Number for Ilan Jose Rothman is 1447440433. The last update date is 2009-09-17.

Ilan Jose Rothman's current location address is Po Box 2040, Portland, Oregon. You can contact this provider via phone number 5032999906 and fax number 5032259002. The mailing address for Ilan Jose Rothman is Po Box 2040, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Ilan Jose Rothman
Address Po Box 2040, Portland, Oregon
Phone Number 5032999906
Fax Number 5032259002
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1447440433
Provider Enumeration Date 2007-07-26
Last Updated Date 2009-09-17

Provider Mailing Address Detail

Address Po Box 2040
City Portland
State Oregon (OR)
Post Code 972082040
Phone Number 5032999906
Fax Number 5032259002

Provider's Primary Taxonomy Detail

Speciality Student In An Organized Health Care Education/training Program
Taxonomy 390200000X
Licence No LL17378
Definition:
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
25298 OR --
8524738 WA --
P00695329 OR RR MEDICARE

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FAQs about Ilan Jose Rothman

What is the unique 10-digit identifier code issued to Ilan Jose Rothman by the Centers for Medicare & Medicaid Services?

The Ilan Jose Rothman has been assigned the NPI (National Provider Identifier) 1447440433 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Ilan Jose Rothman?

The Ilan Jose Rothman is physically situated at Po Box 2040, in the city of Portland, state of OR, with the postal code 972082040.

What is Ilan Jose Rothman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Ilan Jose Rothman is Student In An Organized Health Care Education/training Program, and the corresponding taxonomy classification code for this specialized field is 390200000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1447440433 to Ilan Jose Rothman?

The Centers for Medicare & Medicaid Services assigned the 1447440433 to Ilan Jose Rothman on 2007-07-26.

As of what date were the details related to Ilan Jose Rothman most recently updated or revised?

The information pertaining to Ilan Jose Rothman, including its address, specialty, and other relevant details, was last updated or revised on 2009-09-17.

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