Individual
ROGER CROTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
098006290RN
OR
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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