Individual
DEBRA ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
74B CENTENNIAL LOOP STE 300, EUGENE, OR 97401-7925
(541) 686-3791
(541) 686-3795
Mailing address
74B CENTENNIAL LOOP STE 300, EUGENE, OR 97401-7925
(541) 686-3791
(541) 686-3795
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA130024
OR
Other
Enumeration date
08/08/2006
Last updated
05/10/2022
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