Provider Profile

Provo Roellich

Unclaimed Profile

About Provo Roellich

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Specialty

Student in an Organized Health Care Education Program (Primary)

Credentials & Licensing

NPI1225773476
NPI issued05/02/2022

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Provo Roellich?

Provo Roellich is a medical trainee in Portland, OR. That is the designation recorded for this NPI in the federal registry, where it is listed as “Student in an Organized Health Care Education Program”.

NPI registry

What is Provo Roellich's address?

Provo Roellich is listed at 3181 Sw Sam Jackson Park Rd, Portland, OR 97239. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Provo Roellich?

The number on file is (503) 953-2060. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is Provo Roellich's NPI number?

Provo Roellich's National Provider Identifier is 1225773476. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

How long has Provo Roellich been practicing?

Provo Roellich has 4+ years experience. Registered with an NPI since 2022. National Provider Identifiers only began in 2005, so a provider who qualified earlier may have practiced for longer than this.

NPI registry

Has Provo Roellich confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Provo Roellich. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.