Individual
ALLISON RENEE ROTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
205 SE SPOKANE ST STE 300, PORTLAND, OR 97202-6487
(303) 929-8993
Mailing address
PO BOX 3808, PORTLAND, OR 97208-3808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA166253
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285056291
—
WA
05
—
500667230
—
OR
Enumeration date
01/09/2014
Last updated
01/14/2022
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