Individual provider · Type 1 NPI

Brian Douglas Roth

Registered Nurse · Portland, OR

NPI number 1356044200 Active

Practice location

13317 SE Powell Blvd
Portland, OR 97236-3335

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X200841450RN (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1356044200

Brian Douglas Roth's National Provider Identifier is 1356044200, issued on Mar 22, 2023. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Mar 22, 2023.