Individual
JEFFREY CHRISTOPHER LA ROCHELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 NW 11TH ST, HERMISTON, OR 97838-8605
(541) 567-5305
Mailing address
2725 NE 23RD AVE, PORTLAND, OR 97212-3414
(503) 724-6934
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD126296
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1002960
—
CA
Enumeration date
06/12/2008
Last updated
07/08/2024
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