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1972603553
ISADORA ROTH
PORTLAND, OR
NPI
1972603553
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR MD25317)
Enumeration Date
2006-09-24
Last Update Date
2007-07-11
Business Address
-- ISADORA ROTH M.D.
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-7711
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Mailing Address
-- ISADORA ROTH M.D.
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-7711
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