NPI 1124480496
Hailey Roth
Practice location
- Address
- 3397 Delta Waters Rd, Medford, OR 97504-5852
- Phone
- (541) 772-4648
- Fax
- (541) 734-2410
- Mailing address
- 300 W Main St, Medford, OR 97501-2756
Registered specialties
Community Health Worker
Primary
Registry record
- NPI
- 1124480496
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 24 Mar 2016
- Record last updated
- 24 Mar 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.