Individual
RACHELLE MARIE ROULIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
19 MYRTLE ST, MEDFORD, OR 97504-7337
(541) 773-3863
(541) 776-2892
Mailing address
8385 DIVISION RD, WHITE CITY, OR 97503-1176
(541) 842-7626
(541) 842-7640
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
19601
CA
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227698
—
OR
Enumeration date
03/02/2008
Last updated
03/07/2012
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