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NPI Code Detail

MEDICARE: ROSALIE LOUISE MOVIUS M.D.

MEDICARE: ROSALIE LOUISE MOVIUS M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice PhysicianMD18330OR

General Provider Information

NPI Number : 1013032614
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSALIE LOUISE MOVIUS M.D.
Provider Business Mailing Address
First Line : 7410 SW OLESON RD
Second Line : B 154
City : PORTLAND
State : OR
Zip : 97223-7475
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7410 SW OLESON RD
Second Line : B 154
City : PORTLAND
State : OR
Zip : 97223-7475
Country : US
Telephone Number : 503-309-7802
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 05/24/2026

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