Individual provider · Type 1 NPI

John R. Roth, MPAS, PA-C

Physician Assistant · Eugene, OR

NPI number 1770767360 Active

Practice location

920 Country Club Rd Ste 140A
Eugene, OR 97401-6024

Fax (503) 362-8435

Mailing address

PO Box 741825
Los Angeles, CA 90074-1825

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000XPA01418 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1770767360

John R. Roth, MPAS, PA-C's National Provider Identifier is 1770767360, issued on Dec 19, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Eugene, OR. The record was last updated on Mar 8, 2022.