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Vickie Ellen Rothrock, PNP
Pediatric Nurse Practitioner in Portland, Oregon
NPI 1982619482

Vickie Ellen Rothrock is a Pediatric Nurse Practitioner based in Portland, OR and is specialized in Pediatrics. Vickie Ellen Rothrock practices in Portland, OR and has the professional credentials of PNP. The NPI Number for Vickie Ellen Rothrock is 1982619482 and holds a License No. 082010299N2 (Oregon).

The current practice location address for Vickie Ellen Rothrock is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-418-5710.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97212-4711
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Provider Profile Details
NPI Number
1982619482
Provider Name
Vickie Ellen Rothrock
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97212-4711
Phone Number
503-418-5710
Fax Number
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
276684 05 OR
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-418-5710
Fax Number
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-418-5710
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
082010299N2 (Oregon)
Definition
Definition to come...
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