Individual provider · Type 1 NPI

Todd Michael Rosborough, PAC

Surgical Physician Assistant · Portland, OR

NPI number 1922089580 Active

Practice location

135 NE 102nd Ave
Portland, OR 97220-4167

Fax (503) 255-5085

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA00576 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1922089580

Todd Michael Rosborough, PAC's National Provider Identifier is 1922089580, issued on Nov 10, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2026.