BRIAN DOUGLAS ROTH

PORTLAND, OR
NPI1356044200
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  200841450RN)
Enumeration Date2023-03-22
Last Update Date2023-03-22
Business Address
BRIAN DOUGLAS ROTH
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-763-9606
Mailing Address
BRIAN DOUGLAS ROTH
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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