Roll, John D
Roll, John D is an individual health care provider with primary practice located at 9205 Sw Barnes Rd , Portland OR 97225-6603. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Roll, John D can be contacted via phone (503) 216-4830.Contact Information
Primary practice address
9205 Sw Barnes Rd
Portland OR 97225-6603
Phone: (503) 216-4830
Fax: (503) 216-4850
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 24114 | Oregon |
Profile Details
| NPI number | 1891766911 |
|---|---|
| LBN Legal business name | Roll, John D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jul 16th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891766911 | NPPES |
| Oregon | MEDICAID | 286240 |
Popular Providers
-
Fife, William C
9205 Sw Barnes Rd , Portland OR 97225-6603 -
Zinck, Steven E
9205 Sw Barnes Rd , Portland OR 97225-6603 -
Peizner, David S.
501 N Graham St., Suite 200 , Portland OR 97227 -
Weinstein, Amy S
9205 Sw Barnes Rd , Portland OR 97225-6603 -
Cauthorn, Ross A
9205 Sw Barnes Rd , Portland OR 97225-6603 -
Colip, Charles L
10000 Se Main St Ste 203, Portland OR 97216-2442 -
Hazard, James V
9205 Sw Barnes Rd , Portland OR 97225-6603 -
North, Neshe E.
300 N Graham St Ste 320, Portland OR 97227-1665