Individual
SHIRLEY P. ROFFE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1015 NW 22ND AVE, NORTHRUP #33, PORTLAND, OR 97210-3025
(503) 413-6384
(503) 413-6380
Mailing address
1015 NW 22ND AVE, NORTHRUP #33, PORTLAND, OR 97210-3025
(503) 413-6384
(503) 413-6380
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
017372
LA
2084P0800X
Psychiatry Physician
Primary
14405
OR
2084P0800X
Psychiatry Physician
34519
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155580
—
OR
Enumeration date
03/14/2006
Last updated
07/08/2007
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