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Glen Stanley Roseborough, MD
Vascular Surgery Physician in Salem, Oregon
NPI 1518903186

Glen Stanley Roseborough is a Vascular Surgery Physician based in Salem, OR and is specialized in Vascular Surgery. Glen Stanley Roseborough practices in Salem, OR and has the professional credentials of MD. The NPI Number for Glen Stanley Roseborough is 1518903186 and holds a License No. MD150190 (Oregon).

The current practice location address for Glen Stanley Roseborough is 2480 Liberty St Ne, Salem, OR and can be reached out via phone at 503-371-1756 and via fax at 503-584-7971.

Location: 2480 Liberty St Ne, Salem, OR, 97301-8381
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518903186
Provider Name
Glen Stanley Roseborough
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2480 Liberty St Ne, Salem, OR, 97301-8381
Phone Number
503-371-1756
Fax Number
503-584-7971
Provider Enumeration Date
06/21/2006
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00800072 01 OR RAILROAD MEDICARE
500612667 05 OR
institution
Provider Business Practice Location Address Details
Address
2480 Liberty St Ne
City
Salem
State
Oregon
Zip
97301-8381
Phone Number
503-371-1756
Fax Number
503-584-7971
person
Provider Business Mailing Address Details
Address
2480 Liberty St Ne
City
Salem
State
Oregon
Zip
97301-8381
Phone Number
503-371-1756
Fax Number
503-584-7971
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
-
Taxonomy
208600000X
License No.
MD150190 (Oregon)
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; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
MD150190 (Oregon)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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