-- ROGER DALE ROSENQUIST -- MD
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1285786210- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 10000 SE MAIN ST SUITE 342, PORTLAND, OR, 972162448
- Phone
- (503) 255-5244
- Fax
- (503) 255-5120
Specialties & Taxonomies
Urology
Primary License: OR #MD12426
Urology
License: CA #G25411