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DR. JACK A. ROSENBERG M. D.
NPI 1790748556
Pediatrics - Adolescent Medicine in Hillsboro, OR

Active since April 11, 2006
5920 N. E. RAY CIRCLE, SUITE 220, HILLSBORO, OR 97124(503) 690-0707(503) 690-9796 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jack A. Rosenberg M. D. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK A. ROSENBERG M. D. (NPI 1790748556) is an individual adolescent medicine provider in Hillsboro, Oregon, licensed in Oregon (MD08402) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1790748556
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. JACK A. ROSENBERGCredential: M. D.
Location Address5920 N. E. RAY CIRCLE, SUITE 220Hillsboro, OR 97124-6313
Mailing Address5920 N.e. Ray Circle, Suite 220Hillsboro, OR 97124-6313 · (503) 690-0707 · Fax (503) 690-9796
Phone(503) 690-0707
Fax(503) 690-9796
Sole ProprietorYes
Enumeration DateApril 11, 2006
Last NPPES UpdateApril 28, 2017
✔ NPI 1790748556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in OR · MD08402
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Also ListedPediatricsTaxonomy 208000000X · License MD08402 (OR)
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License MD08402 (OR)
5920 N. E. RAY CIRCLE, Hillsboro, OR 97124
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Other Identifiers 4

Medicare ID-Type Unspecified164012OR
Medicaid164012OR
Medicare UPING31345OR
Medicare UPING31345

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANDRA A. VILHAUER M. D.
Pediatrics (Adolescent Medicine)
5920 N. E. RAY CIRCLE, SUITE 220
HILLSBORO, OR 97124
Washington County (503) 690-0707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Rosenberg's NPI number?

The NPI number for Jack Rosenberg is 1790748556. It was assigned to this individual provider in the NPPES registry on April 11, 2006.

Where is Jack Rosenberg located?

Jack Rosenberg practices at 5920 N. E. Ray Circle Suite 220, Hillsboro, OR 97124. The listed phone number is (503) 690-0707.

What is Jack Rosenberg's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Jack Rosenberg was last updated on April 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.