Individual
LOLIS ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # PPV05, PORTLAND, OR 97239-3011
(503) 418-4216
(503) 418-2208
Mailing address
3181 SW SAM JACKSON PARK RD # PPV05, PORTLAND, OR 97239-3011
(503) 418-4216
(503) 418-2208
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
201141659RN
OR
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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