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Individual

DR. AMELIA BOGART ROTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
901 E 18TH AVE, EUGENE, OR 97403-1354
(541) 346-3575
Mailing address
901 E 18TH AVE, EUGENE, OR 97403-1354
(541) 346-3575

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD155302
OR
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD155302
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD155302
MEDICAL LICENSE
OR
Enumeration date
12/05/2008
Last updated
08/19/2019
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