MEDICARE: EDWIN ROLANDO ROMAN

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	225700000X	Massage Therapist	19797	OR

General Provider Information

NPI Number	:	1174913545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWIN ROLANDO ROMAN

Provider Business Mailing Address
First Line	:	13454 NE SANDY BLVD
Second Line	:	APT. Y3
City	:	PORTLAND
State	:	OR
Zip	:	97230-2681
Country	:	US
Telephone Number	:	321-693-8201
Fax Number	:

Provider Business Practice Location Address
First Line	:	13454 NE SANDY BLVD
Second Line	:	APT. Y3
City	:	PORTLAND
State	:	OR
Zip	:	97230-2681
Country	:	US
Telephone Number	:	321-693-8201
Fax Number	:

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

Provider Enumeration Date	:	01/23/2015
Last Update Date	:	01/23/2015

Similar Medicare Providers

1093869232 — ANNE CAIAZZO LCSW
Practice Location Address:

68 BISHOP ST
PORTLAND, ME
04103-2681

Practice Phone: 207-482-0551
Practice Fax:

1891943197 — DAVID MARGOLIS PH.D. P.A.
Practice Location Address:

68 BISHOP ST , UNIT #1
PORTLAND, ME
04103-2681

Practice Phone: 207-780-0014
Practice Fax:

1861704488 — MS. CHRISTINA FAY LCSW, LADC, CCS
Practice Location Address:

68 BISHOP ST STE 3
PORTLAND, ME
04103-2681

Practice Phone: 207-281-2681
Practice Fax:

1679880439 — MS. MEGHANN J. MCCLUSKEY LCSW
Practice Location Address:

68 BISHOP ST
PORTLAND, ME
04103-2681

Practice Phone: 79-392-2842
Practice Fax:

1093022436 — BETH-ANNE KANECKE MS, CCC-SLP, TSSLD
Practice Location Address:

68 BISHOP ST , UNIT 1, ROOM 5
PORTLAND, ME
04103-2681

Practice Phone: 646-924-5111
Practice Fax:

1558632984 — MAINE CENTER ON DEAFNESS
Practice Location Address:

68 BISHOP ST , SUITE 3
PORTLAND, ME
04103-2681

Practice Phone: 207-797-7656
Practice Fax: 207-797-9791

Directions to “ EDWIN ROLANDO ROMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.