DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACK A. ROSENBERG, M. D.

Active Sole Proprietor

DR. JACK A. ROSENBERG, M. D. is a Adolescent Medicine (Pediatrics) healthcare provider located in HILLSBORO, Oregon. NPI 1790748556 is currently active in the NPPES registry. Verify at CMS.

Adolescent Medicine (Pediatrics) · HILLSBORO, OR

Registration Details

NPI Number
1790748556
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2006 (20.361892223196 yrs)
Last Updated
Apr 28, 2017
Licenses
MD08402 (OR)
MD08402 (OR)
MD08402 (OR)
Sole Proprietor
Yes

Practice Information

Address
5920 N. E. RAY CIRCLE
SUITE 220
HILLSBORO, OR, 971246313
Browse OR providers · Browse ZIP 97124
Phone
5036900707
Fax
5036909796
Primary Specialty
Adolescent Medicine (Pediatrics)
2080A0000X
Additional Specialty
Pediatric Cardiology

Other Adolescent Medicine (Pediatrics) Providers in HILLSBORO, OR

Name Credential NPI
DR. SANDRA A. VILHAUER M. D. 1972566750
PHILIP G MILLER M.D. 1306873591
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.