Individual
PATRICK JOSEPH ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 418-6001
Mailing address
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684-6055
(360) 418-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00002267
WA
207Q00000X
Family Medicine Physician
OS9689
FL
Other
Enumeration date
07/16/2007
Last updated
02/04/2022
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