Provider Demographics
NPI:1033136643
Name:ROTHSCHILD, JOY ANNE (NP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:ANNE
Last Name:ROTHSCHILD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 NW 22ND AVE
Mailing Address - Street 2:SUITE 520
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-2976
Mailing Address - Country:US
Mailing Address - Phone:503-274-4800
Mailing Address - Fax:503-274-4917
Practice Address - Street 1:1130 NW 22ND AVE
Practice Address - Street 2:SUITE 520
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-2976
Practice Address - Country:US
Practice Address - Phone:503-274-4800
Practice Address - Fax:503-274-4917
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200850032NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health