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Contact Information

ELI A ROSENTHAL, MD
1040 NW 22ND AVE, SUITE 660
PORTLAND, OR97210
 Phone: 503-413-7162
 Fax: 503-413-7148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Cardiology

207RI0011X 11 Physician/Internal Medicine
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ELI A ROSENTHAL · (Male)

NPI # 1356346399
Status Active
Credentials MD
Entity Individual
Enumeration date 06/16/2005
Last updated 02/01/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD17870
  • OR Medicaid 046024
  • OR Other 804330005 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • COLUMBIA MEMORIAL HOSPITAL - (Critical Access)
    2111 EXCHANGE STREET
    ASTORIA, OR 97103
  • LEGACY EMANUEL MEDICAL CENTER - (Acute Care)
    2801 N GANTENBEIN AVENUE
    PORTLAND, OR 97227
  • LEGACY GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1015 NW 22ND AVENUE, W121
    PORTLAND, OR 97210
  • LEGACY MERIDIAN PARK MEDICAL CENTER - (Acute Care)
    19300 SW 65TH AVENUE
    TUALATIN, OR 97062
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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