Individual
ZACHARY AUSTIN ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Mailing address
55 COBURG RD, EUGENE, OR 97401-2433
(541) 485-8111
(541) 342-6379
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
PA190776
OR
363A00000X
Physician Assistant
Primary
PA190776
OR
Other
Enumeration date
10/25/2018
Last updated
01/11/2023
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