Nicolette Rosendahl
Internist Neuromusculoskeletal Medicine (NMM)
3680 Nw Samaritan Dr
Corvallis
, Oregon 97330-3737
Nicolette Rosendahl
Internist Neuromusculoskeletal Medicine (NMM)
3680 Nw Samaritan Dr
Corvallis
, Oregon 97330-3737
(541) 754-1150
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Internist
Languages spoken
- English
Location
First Address
- Nicolette Rosendahl
- 444 Nw Elks Dr
- Corvallis, OR
- Zip : 97330-3745
- Phone : (541) 754-1150
Second Address
- Nicolette Rosendahl
- 3680 Nw Samaritan Dr
- Corvallis, OR
- Zip : 97330-3737
- Phone : (541) 754-1260
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO192939 | OR |
| Y | 207R00000X | Internist | DO192939 | OR |
| Y | 111NI0900X | Internist | DO192939 | OR |
| N | 207R00000X | Internist | R10627 | IA |
| N | 111NI0900X | Internist | R10627 | IA |
National Provider Identifier
| NPI | 1689127045 |
|---|---|
| Provider Name | Nicolette Rosendahl |
| First Address | Corvallis, OR 97330-3745 |
| Second Address | Corvallis, OR 97330-3737 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/08/2016 |
| Last Update Date | 10/08/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.