Search › Oregon › 207RI0011X
Joshua Roark, M.D
NPI 1619389368 · on the registry since 2014
Practice
- Address
- 10000 Se Main St Ste 60
Portland, OR 97216 - Phone
- (503) 257-0959
- Fax
- (503) 256-7757
- Organisation at this address
- Jmsp Llc
Mpkm, Llc
Bret Gene Ball Llc
Professionl Pharmacy
Kyle Valentine Dmd PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 114
Additional practice sites
- 3333 Silas Creek Pkwy, Winston Salem, NC
- 101 Manning Dr, Chapel Hill, NC
Registry record
- Primary taxonomy
- 207RI0011X
207RI0011X
- Also registered as
- 207R00000X
208M00000X - Licence states on file
- NC, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon