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Search › Oregon › 101YP2500X

Brennon Roth

NPI 1881325116 · on the registry since 2022

Practice

Address
1890 Waite St Ste 1
North Bend, OR 97459
Phone
(541) 756-6232
Organisation at this address
Waterfall Community Pharmacy
Waterfall Clinic Incorporated
Waterfall Clinic Incorporated
Waterfall Clinic, Incorporated
Waterfall Clinic, Incorporated
Inferred from a shared address, not stated in the registry.
Clinicians at this address
41

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-01

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