Provider Demographics
NPI:1568537439
Name:CAIN, ROSELEE GILBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSELEE
Middle Name:GILBERT
Last Name:CAIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:875 OAK ST SE
Mailing Address - Street 2:SUITE 3070
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3975
Mailing Address - Country:US
Mailing Address - Phone:503-585-7454
Mailing Address - Fax:503-585-9254
Practice Address - Street 1:875 OAK ST SE
Practice Address - Street 2:SUITE 3070
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3975
Practice Address - Country:US
Practice Address - Phone:503-585-7454
Practice Address - Fax:503-585-9254
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD184062084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORG23125Medicare UPIN
OR110259Medicare ID - Type Unspecified