Nickolas Rockenback, MD - Portland, OR

Nickolas Rockenback, MD

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1013776178

Nickolas Rockenback is a Student in an Organized Health Care Education/Training Program based in Saint Paul, OR. Nickolas Rockenback practices in Portland, OR and has the professional credentials of MD. The NPI Number for Nickolas Rockenback is 1013776178 and holds a License No. (Oregon).

The current practice location address for Nickolas Rockenback is 1015 Nw 22Nd Ave, Portland, OR and can be reached out via phone at 503-413-7711 and via fax at 503-413-7361.

Location: 1015 Nw 22Nd Ave, Portland, OR, 55102-4438

NPI Number

1013776178

Provider Name

Nickolas Rockenback

Credential

Provider Entity Type

Individual

Gender

Male

Address

1015 Nw 22Nd Ave, Portland, OR, 55102-4438

Phone Number

503-413-7711

Fax Number

503-413-7361

Provider Enumeration Date

03/18/2024

Last Update Date

04/14/2024

Address

1015 Nw 22Nd Ave

City

Portland

State

Oregon

Zip

97210-3025

Phone Number

503-413-7711

Fax Number

503-413-7361

Address

1015 Nw 22Nd Ave

City

Portland

State

Oregon

Zip

97210-3025

Phone Number

503-413-7711

Fax Number

503-413-7361

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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