Jonathan N Roth, CRNA | |
10150 Se 32nd Ave, Milwaukie, OR 97222-6516 | |
(503) 513-8318 | |
Not Available |
Full Name | Jonathan N Roth |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 10150 Se 32nd Ave, Milwaukie, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1962839654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 200742985RN (Oregon) | Primary |
Entity Name | Anesthesia Associates Northwest Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548281751 PECOS PAC ID: 7618908484 Enrollment ID: O20050822001459 |
Entity Name | Oregon Pain Management Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679936579 PECOS PAC ID: 4183902695 Enrollment ID: O20161102002967 |
Mailing Address | Practice Location Address |
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Jonathan N Roth, CRNA 13974 Se Red Sunset Ave, Clackamas, OR 97015-5359 Ph: () - | Jonathan N Roth, CRNA 10150 Se 32nd Ave, Milwaukie, OR 97222-6516 Ph: (503) 513-8318 |
Rachael Scoones, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3006 Se Van Waters St, Milwaukie, OR 97222 Phone: 503-819-9811 | |
Brian Schapansky, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8318 | |
Sue F Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8318 | |
Julia Watts Schafer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 828-513-8300 | |
Gregory Snyder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222 Phone: 503-513-8300 |