Individual
MS. REBECCA ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
954 NW OGDEN AVE, BEND, OR 97701-1622
(541) 419-7238
Mailing address
PO BOX 1816, BEND, OR 97709-1816
(541) 419-7238
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00400
OR
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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