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1285786210
ROGER DALE ROSENQUIST
PORTLAND, OR
NPI
1285786210
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: OR MD12426)
Additional Taxonomies
208800000X Urology
(Licence: CA G25411)
Enumeration Date
2007-01-18
Last Update Date
2009-04-30
Business Address
-- ROGER DALE ROSENQUIST MD
10000 SE MAIN ST SUITE 342
PORTLAND, OR 97216-2448
Phone number: 503-255-5244
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Mailing Address
-- ROGER DALE ROSENQUIST MD
501 N GRAHAM ST SUITE 420
PORTLAND, OR 97227-1654
Phone number: 503-288-7303
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