Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brian Douglas Roth

Individual provider Registered Nurse · NPI 1356044200

Brian Douglas Roth is a Registered Nurse in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023

Practice location Address checks out

13317 SE Powell Blvd
Portland, OR 97236-3335
Phone: (503) 763-9606
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 200841450RN (OR)

Record details

NPI number1356044200
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2023
Last updated in NPPESMarch 22, 2023
Certification dateMarch 22, 2023
Mailing addressPo Box 8459, Portland, OR 97207-8459

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