| Bobbi Lee Roth, FNP | |
|
19250 Sw 65th Ave Ste 110, Tualatin, OR 97062-7707 | |
| (503) 692-1805 | |
| Not Available |
| Full Name | Bobbi Lee Roth |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 19250 Sw 65th Ave Ste 110, Tualatin, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558890848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 201702881NP-PP (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Renown Regional Medical Center | Reno, NV | Hospital |
| Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
| Northern Nevada Medical Center | Sparks, NV | Hospital |
| Saint Mary's Regional Medical Center | Reno, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peng Md Pllc | 8628304813 | 3 |
| Entity Name | Peng Md Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912563826 PECOS PAC ID: 8628304813 Enrollment ID: O20190725001985 |
| Mailing Address | Practice Location Address |
|---|---|
| Bobbi Lee Roth, FNP 2222 Nw Lovejoy St, Ste 505, Portland, OR 97210-5103 Ph: (503) 242-9850 | Bobbi Lee Roth, FNP 19250 Sw 65th Ave Ste 110, Tualatin, OR 97062-7707 Ph: (503) 692-1805 |
Mrs. Alice Darlene Hamilton, P.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 22300 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-431-5975 Fax: 503-431-5976 | |
Erika Mote, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19875 Sw 65th Ave Ste 100, Tualatin, OR 97062 Phone: 503-692-7785 | |
Mackenzie Eileen Callis, APRN, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18650 Sw Boones Ferry Rd Ste 3, Tualatin, OR 97062 Phone: 503-351-5858 | |
Ms. Nicole Gay Ingram, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062 Phone: 503-855-1205 | |
Mrs. Lindsay Ann Marshall, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18765 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-612-1000 | |
Katherine Anne Mcduffee, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18840 Sw Boones Ferry Rd, Tualatin, OR 97062 Phone: 503-332-1251 | |
Ayumi Mizuno, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6464 Sw Borland Rd Ste A2, Tualatin, OR 97062 Phone: 503-832-5429 |