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NPI Code Detail

MEDICARE: ROBERT S. RATH M.D.,P.C.

MEDICARE: ROBERT S. RATH M.D.,P.C.
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
1261Q00000XClinic/CenterMD12626OR

Other Identifiers

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

General Provider Information

NPI Number : 1588783799
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT S. RATH M.D.,P.C.
Provider Business Mailing Address
First Line : 14125 SW FARMINGTON RD
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-2567
Country : US
Telephone Number : 503-643-2000
Fax Number : 503-641-9284
Provider Business Practice Location Address
First Line : 14125 SW FARMINGTON RD
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-2567
Country : US
Telephone Number : 503-643-2000
Fax Number : 503-641-9284
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT STUART RATH
Credential : M.D.
Telephone Number : 503-643-2000
Provider Enumeration Date : 03/28/2007
Last Update Date : 08/22/2020

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