Individual
CHERYL ANN ROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
13007 NE GLISAN ST, PORTLAND, OR 97230-2545
(503) 215-7870
Mailing address
13007 NE GLISAN ST, PORTLAND, OR 97230-2545
(503) 215-7870
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
7189
OR
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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