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1649596875
JORDAN ISAAC ROTH
HILLSBORO, OR
NPI
1649596875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD157018)
Enumeration Date
2010-04-13
Last Update Date
2021-03-24
Business Address
JORDAN ISAAC ROTH M.D.
5555 NE ELAM YOUNG PKWY
HILLSBORO, OR 97124-6452
Phone number: 503-216-1600
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Mailing Address
JORDAN ISAAC ROTH M.D.
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number:
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