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Individual

DR. JOSHUA SHERIDAN ROARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10000 SE MAIN ST STE 60, PORTLAND, OR 97216-2474
(503) 257-0959
(503) 256-7757
Mailing address
10000 SE MAIN ST STE 60, PORTLAND, OR 97216-2474
(503) 257-0959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
201232
NC
207RI0011X
Interventional Cardiology Physician
Primary
MD204242
OR
208M00000X
Hospitalist Physician
2017-01347
NC

Other

Enumeration date
05/29/2014
Last updated
08/23/2021
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