Organization Active NPI

Frank S. Rosenbloom, M.D. PC

  • Internal Medicine Physician
  • Tualatin, OR
National Provider Identifier
1235371485
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD20064 Issued in OR
Legal business name
FRANK S. ROSENBLOOM, M.D. PC
Practice address
6464 SW Borland Rd
Suite B2
Tualatin, OR 97062-8876
Phone
(503) 692-5250
Fax
(503) 612-0573
NPI assigned
Apr 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Frank Rosenbloom, M.D.
Title
Doctor
Phone
(503) 692-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MD20064 OR Primary

Addresses

Primary practice location

6464 SW Borland Rd
Suite B2
Tualatin, OR 97062-8876

Mailing address

6464 SW Borland Rd
Suite B2
Tualatin, OR 97062-8876
Phone (503) 692-5250

Other identifiers 1

IdentifierTypeStateIssuer
079496MedicaidOR

National Provider Directory

National Provider Directory

Locations

6464 SW Borland Rd
Ste B2
Tualatin, OR 97062
Phone (503) 612-9676

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238630400000",
    "number": "1235371485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD",
            "address_2": "SUITE B2",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628876",
            "telephone_number": "503-692-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 SW BORLAND RD",
            "address_2": "SUITE B2",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970628876",
            "telephone_number": "503-692-5250",
            "fax_number": "503-612-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK S. ROSENBLOOM, M.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A",
        "authorized_official_last_name": "ROSENBLOOM",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "503-692-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD20064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079496",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tualatin, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.