Provider Demographics
NPI:1831177971
Name:ROTHSTEIN, ALAN FRANCIS (DPM)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:FRANCIS
Last Name:ROTHSTEIN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11515 SW DURHAM RD
Mailing Address - Street 2:BUILDING E
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-3476
Mailing Address - Country:US
Mailing Address - Phone:503-624-0364
Mailing Address - Fax:503-684-3306
Practice Address - Street 1:11515 SW DURHAM RD
Practice Address - Street 2:BUILDING E
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97224-3476
Practice Address - Country:US
Practice Address - Phone:503-624-0364
Practice Address - Fax:503-684-3306
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPO135213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR082307000OtherBLUECROSS BLUE SHIELD
OR22429-5Medicaid
OR22429-5Medicaid
ORT11255Medicare UPIN
OR22429-5Medicaid