Roth, Amelia Bogart

Roth, Amelia Bogart is an sole proprietor health care provider with primary practice located at 901 E 18Th Ave , Eugene OR 97403-1354. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Roth, Amelia Bogart can be contacted via phone (541) 346-3575.

Contact Information

Primary practice address
901 E 18Th Ave Eugene OR 97403-1354
Phone: (541) 346-3575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD155302 Oregon
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X MD155302 Oregon

Profile Details

NPI number 1659516557
LBN Legal business name Roth, Amelia Bogart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2008
Last updated Aug 19th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659516557 NPPES
Oregon Other MD155302 MEDICAL LICENSE

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