Brennon Roth

NPI #1881325116 in North Bend, Oregon

Provider Information

NPI Number: 1881325116
Entity Type: Individual
Name: Brennon Roth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Enumeration Date: Jun 17, 2022
Last Updated: Aug 1, 2023

Practice Location

Address: 1890 WAITE ST STE 1
City: North Bend
State: Oregon
ZIP Code: 97459-1229
Phone: (541) 756-6232

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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