Provider Demographics
NPI:1972294940
Name:ROJAS, XAVIER JUAN ANGELO SR
Entity Type:Individual
Prefix:
First Name:XAVIER
Middle Name:JUAN ANGELO
Last Name:ROJAS
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87958 7TH ST
Mailing Address - Street 2:
Mailing Address - City:VENETA
Mailing Address - State:OR
Mailing Address - Zip Code:97487-8756
Mailing Address - Country:US
Mailing Address - Phone:541-636-7440
Mailing Address - Fax:
Practice Address - Street 1:315 COBURG RD STE C
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6114
Practice Address - Country:US
Practice Address - Phone:541-505-9190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist