Jordan I Roth (NPI# 1649596875, PAC ID# 4688829401) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1649596875 |
| PAC ID by PECOS | 4688829401 |
| Professional Enrollment ID | I20131023002024 |
| Full Name | Jordan I Roth |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Address |
5555 Ne Elam Young Pkwy Pmg/orenco Hillsboro OR 97124-6452 |
| Phone Number | 5032161600 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0648183608 |
| Number of Group Practice Members | 1163 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 | 5032161600 | PROVIDENCE HEALTH AND SERVICES OREGON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Physicians | 1491 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yeong Paul Park | Physical Therapy | Providence Health and Services Oregon | 1627 Woods Ct, Prov Gorg Spi/spo M, Hood River, OR 97031-2915 |
| Traci Ackron | Family Medicine | Providence Health and Services Oregon | 909 Sw 18th Ave, Prov Med Gr Spor Car, Portland, OR 97205-1705 |
| Tierney Newman | Nurse Practitioner | Providence Health and Services Oregon | 4004 Kruse Way Pl, Suite 300, Lake Oswego, OR 97035-2479 |
| Angie R Cronin | Psychologist, Clinical | Providence Health and Services Oregon | 1332 S Shasta Ave, Suite A, Eagle Point, OR 97524-8623 |
| Jennifer N Herr | Nurse Practitioner | Providence Health and Services Oregon | 4805 Ne Glisan, Portland, OR 97213-2933 |
| Jaecelle Guadiz Galeniece | Family Medicine | Providence Health and Services Oregon | 1003 Providence Dr, Suite 325, Newberg, OR 97132-7521 |
| Amelia H Baker | Family Medicine | Providence Health and Services Oregon | 4920 N Interstate Ave, Portland, OR 97217-3653 |
| Sandra Iloka | Family Medicine | Providence Health and Services Oregon | 16770 Sw Edy Rd, 102 Pmg Sherwood Imed Cr, Sherwood, OR 97140-9679 |
| Duy Quang Tran | Family Medicine | Providence Health and Services Oregon | 839 Ne Holladay St, Portland, OR 97232-3521 |
| Steven Vorenkamp | Orthopedic Surgery | Providence Health and Services Oregon | 814 13th St, Hood River, OR 97031-1210 |
| Street Address |
5555 NE ELAM YOUNG PKWY PMG/ORENCO |
| City | HILLSBORO |
| State | OR |
| Zip | 97124-6452 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leanna B Schultz | Physician Assistant | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Thomas C Rittman | Psychiatry | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Tira E Nesset | Nurse Practitioner | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Clarice C Calopiz | Family Medicine | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Rebekah Ratzlaff | Psychologist, Clinical | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Thao T Van | Physician Assistant | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Nicole S Trajano | Family Medicine | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Sonel P Patel | Family Medicine | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| William W Cuff | Family Medicine | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Kristina Marchand | Family Medicine | Providence Health and Services Oregon | 5555 Ne Elam Young Pkwy, Pmg/orenco, Hillsboro, OR 97124-6452 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Y Lee | Physical Therapy | Stride Strong Physical Therapy LLC | 2350 Ne Griffin Oaks St, Suite 100, Hillsboro, OR 97124-2374 |
| Daniel S Wright | Chiropractic | 230 Ne 2nd Ave, Suite 1, Hillsboro, OR 97124-3074 | |
| Kim G Gauntt | Podiatry | K G Gauntt Dpm PC | 200 Ne 4th Ave, Hillsboro, OR 97124-3255 |
| Judith M Kemp | Family Practice | Dr Judith Kemp Md LLC | 6244 Ne Brighton St, Hillsboro, OR 97124-5076 |
| Elizabeth A Conley | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Laura Briana Perry | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Marissa M Loosli | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Nancy Burger Causton | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Kent A Bond | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, Suite 107, Hillsboro, OR 97124-5114 |
| Hui En Gilpin | Physical Therapy | Kab Physical Therapy LLC | 4950 Ne Belknap Ct, 107 Impact Physical Therapy Hillsboro, Hillsboro, OR 97124-5114 |
| Find all physicians in zip 97124 | |||
| City | HILLSBORO |
| Zip Code | 97124 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HILLSBORO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jordan I Roth.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.