Individual
CLAY FIELDING ROSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1073 OAK ST SE, SALEM, OR 97301-4018
(503) 585-4949
Mailing address
4255 VERDA LN NE, KEIZER, OR 97303-2439
(503) 393-1418
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
02/07/2009
Last updated
02/07/2009
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