Individual
DR. JOHN WILLIAM ROLLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
435 LANCASTER DR NE, SALEM, OR 97301-4729
(503) 585-6388
(503) 585-0669
Mailing address
236 REES HILL RD SE, SALEM, OR 97306-9111
(503) 585-2303
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12174
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057325873360
REGENCE BCBS OF OREGON
OR
01
—
0169990022
PROVIDENCE HEALTH PLANS
OR
05
—
066498
—
OR
01
—
M4003 01
PACIFIC SOURCE
OR
Enumeration date
03/07/2007
Last updated
02/17/2014
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