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DR. JOHN D ROLL MD
NPI 1891766911
Specialist in Portland, OR

Active since January 27, 2006
9205 SW BARNES RD, PORTLAND, OR 97225(503) 216-4830(503) 216-4850 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John D Roll Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN D ROLL MD (NPI 1891766911) is an individual specialist in Portland, Oregon, licensed in Oregon (24114) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1891766911
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JOHN D ROLLCredential: MD
Location Address9205 SW BARNES RDPortland, OR 97225-6603
Mailing Address9400 Sw Barnes Rd, Suite 307Portland, OR 97225-6608 · (503) 292-9108 · Fax (503) 292-0346
Phone(503) 216-4830
Fax(503) 216-4850
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJuly 16, 2007
✔ NPI 1891766911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · 24114
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9205 SW BARNES RD, Portland, OR 97225
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Other Identifiers 3

Medicare ID-Type Unspecified114336OR
Medicaid286240OR
Medicare UPINC37168

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. VICTOR NGUYEN PHAM M.D.
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
YEVGENY BULOCHNIK PHARMD
Pharmacist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-3299
MR. DANIEL PAUL ADDY C.R.N.A.
Nurse Anesthetist, Certified Registered
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
MR. JONATHAN DAVID CAULLEY PT
Physical Therapist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2610
EMILY ECHTENKAMP LCSW, CADC III, MAC
Counselor (Mental Health)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-1234
BRIAN J KEARNS MD
Hospitalist
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-2906
DR. JAMES S PUTNAM MD
Radiology (Vascular & Interventional Radiology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (503) 216-4830
MATTHEW CARSTENS FRANK M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
9205 SW BARNES RD
PORTLAND, OR 97225
Washington County (303) 859-4275

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Roll's NPI number?

The NPI number for John Roll is 1891766911. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is John Roll located?

John Roll practices at 9205 SW Barnes Rd, Portland, OR 97225. The listed phone number is (503) 216-4830.

What is John Roll's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for John Roll was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.