Individual provider · NPI-1

Dr. Shammai Rockove, M.D.

Urology · Gresham, OR

NPI number1720070873
StatusActive
Last updated in NPPESNov 20, 2009

Details

NPI
1720070873
Entity type
Individual (NPI-1)
Name
Dr. Shammai Rockove
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 16, 2005
Last updated
Nov 20, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X UrologyMD19455ORYes

Practice location

24076 Se Stark St
Suite 310
Gresham, OR 97030-3373

Phone 503-492-6510 · Fax 503-492-6502

Mailing address

24076 Se Stark St
Suite 310
Gresham, OR 97030-3373

Phone 503-492-6510 · Fax 503-492-6502

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