person
Todd Michael Rosborough, PAC
Surgical Physician Assistant in Portland, Oregon
NPI 1922089580

Todd Michael Rosborough is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Todd Michael Rosborough practices in Portland, OR and has the professional credentials of PAC. The NPI Number for Todd Michael Rosborough is 1922089580 and holds a License No. PA00576 (Oregon).

The current practice location address for Todd Michael Rosborough is 135 Ne 102Nd Ave, Portland, OR and can be reached out via phone at 503-255-5388 and via fax at 503-255-5085.

Location: 135 Ne 102Nd Ave, Portland, OR, 97220-4167
person
Provider Profile Details
NPI Number
1922089580
Provider Name
Todd Michael Rosborough
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
135 Ne 102Nd Ave, Portland, OR, 97220-4167
Phone Number
503-255-5388
Fax Number
503-255-5085
Provider Enumeration Date
11/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0131007 01 WA WA LABOR INDUSTRIES
institution
Provider Business Practice Location Address Details
Address
135 Ne 102Nd Ave
City
State
Zip
97220-4167
Phone Number
503-255-5388
Fax Number
503-255-5085
person
Provider Business Mailing Address Details
Address
135 Ne 102Nd Ave
City
State
Zip
97220-4167
Phone Number
503-255-5388
Fax Number
503-255-5085
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA00576 (Oregon)
Definition
Definition to come...
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