DR. RODRIGO PEDRAZA ROSALES (NPI# 1659798932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659798932 |
| Entity Type | Individual |
| Full Name | DR. RODRIGO PEDRAZA ROSALES |
| Credential | M.D. |
| Practice Address |
4805 Ne Glisan St Ste 6n60 Portland OR 97213-2933 |
| Mailing Address |
847 Ne 19th Ave Ste 300 Portland OR 97232-2686 |
| Practice Telephone | 5032810561 |
| Practice Fax Number | 5034167377 |
| Mailing Telephone | 5039632801 |
| Mailing Fax Number | 5039632825 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2020-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | MD198032 | OR | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2138897 | 05 | |
| OR | 500767322 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9155 Sw Barnes Rd Ste 735, Portland, OR 972256634 | 5032810561 | 5034167377 |
| 4805 Ne Glisan St Ste 6n60, Portland, OR 972132933 | 5032810561 | 5034167377 |
| Street Address |
4805 NE GLISAN ST STE 6N60 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97213-2933 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871742478 | Michele Lynn Babicky | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213 | 2008-09-18 |
| 1679027874 | Ephraim Shin-tian Tang | Transplant Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2016-08-05 |
| 1023443546 | Pamela Dawn Voltz | Physician Assistant | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2013-09-04 |
| 1437597556 | Lauren Elizabeth Orr | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2013-06-11 |
| 1245587823 | Daniel Davila Bradley | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2012-08-14 |
| 1760776041 | Maria Ximena Traa Kiely | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213 | 2011-06-05 |
| 1225353824 | Jon M Gerry | Surgery | 4805 Ne Glisan St Ste 6n60, Portland, OR 97213-2933 | 2010-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715176 | Darnell Jackie Strong | Social Worker | 435 Ne 78th Ave 'strong Counseling Services', Portland, OR 97213 | 2020-06-23 |
| 1336775907 | Redpoint Physical Therapy and Performance LLC | Physical Therapist | 4200 Ne Flanders St Unit B, Portland, OR 97213 | 2020-03-16 |
| 1801431218 | Denise Dorgan-miller | Occupational Therapy Assistant | Providence Elder Place, 4400 Ne Halsey Suite 200, Portland, OR 97213 | 2019-11-08 |
| 1619435617 | Aspiration of Character Counseling Services, LLC | Counselor | 4424 Ne Glisan St, The Li Wellness Building, Second Floor, Portland, OR 97213 | 2019-03-08 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1023507795 | Karissa Lynn Schwartz | Speech-Language Pathologist | Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 | 2018-05-08 |
| 1861944506 | James Livingston Taylor | Chiropractor | 5212 Ne Sacremento St., Portland, OR 97213 | 2016-10-28 |
| 1962958520 | Caitlin Turner | Massage Therapist | 4317 Ne Tillamook St., Portland, OR 97213 | 2016-09-01 |
| 1326407008 | Julianna Vermeys | Counselor | 4605 Ne Fremont St., 209a, Portland, OR 97213 | 2016-02-23 |
| 1881059822 | Thomas Michael Barrett | Counselor | 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 | 2015-12-17 |
| Find all providers in zip 97213 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194090399 | Christopher Jay Longaker | Colon & Rectal Surgery | 12235 Nw Big Fir Cir, Portland, OR 97229-3903 | 2012-03-21 |
| 1295173763 | Paul Michael Kaminsky | Colon & Rectal Surgery | 2222 Nw Lovejoy St Ste 601, Portland, OR 97210 | 2013-06-06 |
| 1023313749 | Northwest Center for Colorectal Health, LLC | Colon & Rectal Surgery | 9155 Sw Barnes Rd, Suite 211, Portland, OR 97225-6625 | 2011-01-12 |
| 1093030074 | Alizah Rabin Rotramel | Colon & Rectal Surgery | 1040 Nw 22nd Ave, Suite 540, Portland, OR 97210-3057 | 2010-04-01 |
| 1962578104 | Megan M Cavanaugh | Colon & Rectal Surgery | 9155 Sw Barnes Rd, Suite 231, Portland, OR 97225-6625 | 2006-11-28 |
| 1629140603 | Gary H Leaverton | Colon & Rectal Surgery | 511 Sw 10th Avenue, Suite 714, Portland, OR 97205 | 2006-11-14 |
| 1841362928 | Scott M Browning | Colon & Rectal Surgery | 9155 Sw Barnes Rd, #211, Portland, OR 97225-6625 | 2006-11-14 |
| 1851479034 | Cathel Ah Macleod | Colon & Rectal Surgery | 10 Andover Rd, Portland, ME 04102-1954 | 2006-11-02 |
| 1235217456 | Melville Parker Roberts | Colon & Rectal Surgery | 10 Andover Rd, Portland, ME 04102-1954 | 2006-11-02 |
| 1811075047 | Sara W Mayo | Colon & Rectal Surgery | 10 Andover Rd, Portland, ME 04102-1954 | 2006-11-02 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.