Individual
EKATERINA ALEXANDROVNA ROLLASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 DELTA WATERS RD STE 107, MEDFORD, OR 97504-9114
(541) 734-9030
Mailing address
1600 DELTA WATERS RD STE 107, MEDFORD, OR 97504-9114
(541) 734-9030
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OR
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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