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1588744403
RICHARD WALTER ROTH
PORTLAND, OR
NPI
1588744403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 2025T)
Enumeration Date
2006-10-16
Last Update Date
2007-11-27
Business Address
Dr. RICHARD WALTER ROTH OD
4441 SE WOODSTOCK BLVD
PORTLAND, OR 97206-6271
Phone number: 503-775-4550
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Mailing Address
Dr. RICHARD WALTER ROTH OD
4441 SE WOODSTOCK BLVD
PORTLAND, OR 97206-6271
Phone number: 503-775-4550
Copy
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