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General NPI Number Information
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NPI Number | 1659507523
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Entity Type | Individual
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Provider Name | RISHI RATTAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2009
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Last Update Date | 05/09/2023
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Provider Practice Location Address
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Address Line | 300 N GRAHAM ST STE 125
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City | PORTLAND
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State | OR
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Zip | 97227-1683
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Country | US
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Telephone | 503-413-3714
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Fax | 503-413-2061
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Provider Business Mailing Address
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Address Line | PO BOX 3777
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City | PORTLAND
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State | OR
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Zip | 97208-3777
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD213584
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | ME119083
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | ME119083
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | MD213584
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License Number State | OR
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