MEDICARE: ROBERT C ORAM MD

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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	6905	NH
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	MD60562819	WA
3	208600000X	Surgery Physician	MD60562819	WA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00918381	OTHER	NH	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780660746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT C ORAM MD

Provider Business Mailing Address
First Line	:	1115 SE 164TH AVE DEPT 358
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98683-8004
Country	:	US
Telephone Number	:	360-729-1462
Fax Number	:	360-729-3104

Provider Business Practice Location Address
First Line	:	4280 MERIDIAN ST STE 110
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-6464
Country	:	US
Telephone Number	:	360-788-7733
Fax Number	:	360-676-7471

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	02/11/2020

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Directions to “ ROBERT C ORAM MD” Practice Location

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