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 |
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Address | 9400 Sw Barnes Rd, Portland, Oregon |
Phone Number | 5032929108 |
Fax Number | 5032920346 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1891766911 |
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Provider Enumeration Date | 2006-01-27 |
Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
Address | 9400 Sw Barnes Rd |
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City | Portland |
State | Oregon (OR) |
Post Code | 972256608 |
Phone Number | 5032929108 |
Fax Number | 5032920346 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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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 | -- |
Post Comment/ Review Below
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.
NPI Number: 1588667679
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