John D Roll in Portland - Specialist

John D Roll - NPI 1891766911

John D Roll is a Specialist in Portland, Oregon. John D Roll practices all healthcare services and medical treatments related to Specialist. The NPI Number for John D Roll is 1891766911. The last update date is 2007-07-16.

John D Roll's current location address is 9400 Sw Barnes Rd, Portland, Oregon. You can contact this provider via phone number 5032929108 and fax number 5032920346. The mailing address for John D Roll is 9400 Sw Barnes Rd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name John D Roll
Address 9400 Sw Barnes Rd, Portland, Oregon
Phone Number 5032929108
Fax Number 5032920346
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1891766911
Provider Enumeration Date 2006-01-27
Last Updated Date 2007-07-16

Provider Mailing Address Detail

Address 9400 Sw Barnes Rd
City Portland
State Oregon (OR)
Post Code 972256608
Phone Number 5032929108
Fax Number 5032920346

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 24114
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
286240 OR --

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FAQs about John D Roll

What is the John D Roll's 1891766911?

The John D Roll's NPI (National Provider Identifier) Number is 1891766911. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where John D Roll's facilities are situated?

The facilities of John D Roll are physically located at the following address: 9400 Sw Barnes Rd, Portland, OR, 972256608.

What is John D Roll's specialized field of practice, and what is the corresponding taxonomy classification code?

The John D Roll's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1891766911 to John D Roll?

The Centers for Medicare & Medicaid Services assigned the 1891766911 to John D Roll on 2006-01-27.

When was the John D Roll's information last updated?

The John D Roll's information was last updated on 2007-07-16.

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