Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD14116 | OR |
N | 208600000X | Surgeon | MD14116 | OR |
Y | 2086X0206X | Surgical Oncologist | 14116 | OR |
NPI | 1114932613 |
---|---|
Provider Name | Rodney Francis Pommier |
First Address | Portland, OR 97219-1912 |
Second Address | Portland, OR 97239-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 08/10/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
142679 | (05) | OR |
C91955 | (02) |