Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | MD14896 | OR |
NPI | 1003820473 |
---|---|
Provider Name | Dr. Frank E Palmrose |
First Address | Seattle, WA 98124-5147 |
Second Address | Portland, OR 97205-3536 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2006 |
Last Update Date | 18/10/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
050074676 | RR MEDICARE (01) | OR |
071626 | (05) | OR |
1003820473 | (05) | ID |
1054931 | (05) | WA |
E69735 | (02) | |
XPY198137 | (05) | CA |