Provo Roellich
Provo Roellich is a Student in an Organized Health Care Education/Training Program in Portland, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
Portland, ORNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1225773476 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 2, 2022 |
| Last updated in NPPES | May 2, 2022 |
| Certification date | May 2, 2022 |
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