Provider Demographics
NPI:1619142171
Name:ROPEL, ROSELYN GAIL
Entity Type:Individual
Prefix:
First Name:ROSELYN
Middle Name:GAIL
Last Name:ROPEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 281
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-0019
Mailing Address - Country:US
Mailing Address - Phone:541-734-2999
Mailing Address - Fax:541-734-4777
Practice Address - Street 1:2620 E BARNETT RD
Practice Address - Street 2:SUITE G
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-8383
Practice Address - Country:US
Practice Address - Phone:541-734-2999
Practice Address - Fax:541-073-4477
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter