Individual
HAILEY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3397 DELTA WATERS RD, MEDFORD, OR 97504-5852
(541) 772-4648
(541) 734-2410
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
(541) 772-4648
(541) 734-2410
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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