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NPI Code Detail

MEDICARE: MISS ROBERTA MERYL RICH PA-C

MEDICARE: MISS ROBERTA MERYL RICH PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA15644CA

General Provider Information

NPI Number : 1881870327
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ROBERTA MERYL RICH PA-C
Provider Business Mailing Address
First Line : 2051 KAEN RD
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-4035
Country : US
Telephone Number : 503-650-3110
Fax Number :
Provider Business Practice Location Address
First Line : 37400 BELL ST
Second Line :
City : SANDY
State : OR
Zip : 97055-7868
Country : US
Telephone Number : 503-668-3483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2008
Last Update Date : 10/13/2016

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Directions to “ MISS ROBERTA MERYL RICH PA-C” Practice Location

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