Individual
EMILY ROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1804
(503) 916-2000
Mailing address
2303 SE 28TH PL, PORTLAND, OR 97214-5605
(503) 916-5640
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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