Individual
DR. ROBERT D ROLEN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
115 W HERMISTON AVE STE 130, HERMISTON, OR 97838-1711
(541) 567-1837
Mailing address
115 W HERMISTON AVE STE 130, HERMISTON, OR 97838-1711
(541) 567-1837
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1795ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150839
—
OR
01
—
48207
BXBS
—
Enumeration date
08/29/2005
Last updated
03/06/2008
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