LOGAN KYLE ROSENBERG


Address: 1200 Nw 23rd Ave, Portland, OR 97210-2906
Phone: 5034137074

LOGAN KYLE ROSENBERG (NPI# 1972131845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972131845
Entity Type Individual
Full Name LOGAN KYLE ROSENBERG
Credential MD
Practice Address 1200 Nw 23rd Ave
Portland
OR 97210-2906
Mailing Address 20 Sutton Pl S Apt 20c
New York
NY 10022-4348
Practice Telephone 5034137074
Practice Fax Number 5034136892
Mailing Telephone 9145486873
Enumeration Date 2020-03-27
Last Update Date 2020-03-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers LOGAN ROSENBERG

NPI Name Taxonomy Address Enumeration
1912231739 Logan Paige Rosenberg Social Worker 14130 Hillcrest Rd, Dallas, TX 75254-8623 2009-09-25

Office Location

Street Address 1200 NW 23RD AVE
City PORTLAND
State OR
Zip Code 97210-2906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649246182 Melinda Muller Internal Medicine 1200 Nw 23rd Ave, Portland, OR 97210-2906 2006-02-24
1770112815 Donald Scott Slusarenko Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave, Portland, OR 97210-2906 2020-04-01
1477181592 Kiley Anne Lawrence Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave, Portland, OR 97210-2906 2020-04-01
1265060735 Sean Seagraves Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave, Portland, OR 97210-2906 2020-03-31
1063040590 Jonathon Samuel Davis Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave, Portland, OR 97210-2906 2020-03-30
1053949594 Traci June Tokue Mikasa Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave, Portland, OR 97210-2906 2020-03-30
1033747050 Rachel Lauren Perez Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave, Portland, OR 97210-2906 2020-03-27
1861020877 Sarah Choi Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave, Portland, OR 97210-2906 2020-03-27
1568090579 Katherine Camille Taylor Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave, Portland, OR 97210-2906 2020-03-27
1922635150 Trang Hua Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave, Portland, OR 97210-2906 2020-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679109086 Joseph Francolino Massage Therapist 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 2020-03-17
1215574058 Northwest Dbt LLC Psychologist 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 2019-11-27
1649769480 Dipesh Patel Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 2018-05-08
1760987234 Meghan Teague Student in an Organized Health Care Education/Training Program Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 2018-03-27
1205349172 Paul M Storm Acupuncturist 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 2017-11-14
1740703750 Audra K Berning Massage Therapist 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 2017-07-21
1720539810 Anna-marie Elizabeth Wood Audiologist 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 2016-10-24
1659829836 H&s Pearl, LLC Massage Therapist 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 2016-09-15
1255785796 Cortez Natural Medicine, Inc. Acupuncturist 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 2016-04-21
1932563616 Vincent Chen Student in an Organized Health Care Education/Training Program 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 2016-04-08
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215536602 Dario J Lapoma Student in an Organized Health Care Education/Training Program 1305 Se Birch St, Portland, OR 97214-5335 2020-10-18
1740888155 Charles Samuel Goldfoot Student in an Organized Health Care Education/Training Program 1650 Nw 13th Ave Apt 109, Portland, OR 97209-3694 2020-10-16
1396343992 Shelby Taylor Bowerly Student in an Organized Health Care Education/Training Program 4522 Ne Ainsworth St, Portland, OR 97218-1322 2020-10-15
1821696816 Nancy Sierra Ferrer Student in an Organized Health Care Education/Training Program 3181 Sw Sam Jackson Park Rd # Or97239, Portland, OR 97239-3011 2020-10-13
1437757663 David Gallacher Student in an Organized Health Care Education/Training Program 3303 S Bond Ave # 1, Portland, OR 97239-4501 2020-10-10
1366049777 Carolyn Evans Student in an Organized Health Care Education/Training Program 80 Ne 14th Ave Apt 314, Portland, OR 97232-3568 2020-10-08
1669081659 Amy Hill Student in an Organized Health Care Education/Training Program 3931 N Juneau St Apt 7, Portland, OR 97217-7419 2020-07-27
1558979468 Elise Caitlin Esposito Student in an Organized Health Care Education/Training Program 3710 Sw U.S. Veterans Hospital Road, Dental Service P-3 Dent, Attn: Elise Esposito, Portland, OR 97239 2020-07-16
1750908844 Will Cowan Student in an Organized Health Care Education/Training Program 455 Sw Us Veterans Hospital Road., Portland, OR 97239 2020-07-06
1558986364 Haley Bosco Doyle Student in an Organized Health Care Education/Training Program 3587 Se Grant St, Portland, OR 97214-5829 2020-06-08
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97210

Improve Information

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Dataset Information

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.

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