Individual
MRS. RACHEL W ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
494 SW VETERANS WAY STE 1, REDMOND, OR 97756-6408
(541) 852-3271
(541) 345-3559
Mailing address
10436 NE SAGE LN, TERREBONNE, OR 97760-9613
(541) 852-3271
(541) 345-3559
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4810
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215917398
NPI
—
Enumeration date
01/17/2006
Last updated
06/04/2021
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