| Sarah Rose Rothman, | |
|
1535 N Williams Ave, Portland, OR 97227-1885 | |
| (503) 238-2067 | |
| Not Available |
| Full Name | Sarah Rose Rothman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1535 N Williams Ave, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316604697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA60395 (California) | Secondary |
| 363A00000X | Physician Assistant | PA213562 (Oregon) | Primary |
| Entity Name | Vital Total Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386107928 PECOS PAC ID: 7911234356 Enrollment ID: O20190808001266 |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Rose Rothman, 190 Se 8th Ave # A-201, Hillsboro, OR 97123-4216 Ph: (510) 427-8855 | Sarah Rose Rothman, 1535 N Williams Ave, Portland, OR 97227-1885 Ph: (503) 238-2067 |
James Francis Deitle, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 501 N Graham St, Suite #580, Portland, OR 97227 Phone: 503-528-0704 Fax: 503-528-0708 |
David Pritchett, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1535 N Williams Ave, Portland, OR 97227 Phone: 503-238-2067 |
Cindy M Fulton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4400 Ne Halsey St Ste 102, Portland, OR 97213 Phone: 503-962-1000 |
Kathleen Irene Rodenburg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613 |
Molly Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4910 |
Kayla Mae Eversole, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1815 Sw Marlow Ave Ste 100, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110 |
Mackenzie Jean Eikamp, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-1620 Fax: 503-494-6670 |