Roth, John R

Roth, John R is an individual health care provider with primary practice located at 920 Country Club Rd Ste 140A , Eugene OR 97401-6024. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Roth, John R can be contacted via phone (503) 362-8385.

Contact Information

Primary practice address
920 Country Club Rd Ste 140A Eugene OR 97401-6024
Phone: (503) 362-8385
Fax: (503) 362-8435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01418 Oregon

Profile Details

NPI number 1770767360
LBN Legal business name Roth, John R
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2007
Last updated Mar 8th, 2022 - about 2 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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