Roa, Daniel Dominic Eric

Roa, Daniel Dominic Eric is an sole proprietor health care provider with primary practice located at 5316 N Greeley Ave , Portland OR 97217-4113. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Roa, Daniel Dominic Eric can be contacted via phone (541) 720-8789.

Contact Information

Primary practice address
5316 N Greeley Ave Portland OR 97217-4113
Phone: (541) 720-8789
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 201507350NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 201507350NP-PP Oregon

Profile Details

NPI number 1801266119
LBN Legal business name Roa, Daniel Dominic Eric
Credentials DNP, ARNP-PP, AGPCNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2015
Last updated Sep 29th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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