Individual
BOBBI LEE ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
19250 SW 65TH AVE STE 110, TUALATIN, OR 97062-7707
(503) 692-1805
Mailing address
2222 NW LOVEJOY ST, STE 505, PORTLAND, OR 97210-5103
(503) 242-9850
(503) 226-3539
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201702881NP-PP
OR
Other
Enumeration date
06/08/2017
Last updated
06/19/2017
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