JONATHAN N ROTH

MILWAUKIE, OR
NPI1962839654
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  200742985RN)
Enumeration Date2013-09-26
Last Update Date2013-09-26
Business Address
-- JONATHAN N ROTH CRNA
10150 SE 32ND AVE
MILWAUKIE, OR 97222-6516
Phone number: 503-513-8318
Mailing Address
-- JONATHAN N ROTH CRNA
13974 SE RED SUNSET AVE
CLACKAMAS, OR 97015-5359
Phone number: