Individual
JUSTIN ROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4660 NE BELKNAP CT STE 119, HILLSBORO, OR 97124-8402
(503) 359-4773
Mailing address
1909 MOUNTAIN VIEW LN STE 200, FOREST GROVE, OR 97116-2894
(503) 359-4773
(503) 359-3809
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA207937
OR
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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