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NPI Code Detail

MEDICARE: HANNAH BROOKE ROTE

MEDICARE: HANNAH BROOKE ROTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1306624929
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH BROOKE ROTE
Provider Business Mailing Address
First Line : 2577 NE COURTNEY DRIVE
Second Line :
City : BEND
State : OR
Zip : 97701-7638
Country : US
Telephone Number : 541-322-7678
Fax Number : 541-322-7565
Provider Business Practice Location Address
First Line : 244 NW KINGWOOD AVE
Second Line :
City : REDMOND
State : OR
Zip : 97756-1812
Country : US
Telephone Number : 541-322-7500
Fax Number : 541-322-7565
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2023
Last Update Date : 02/05/2025

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Directions to “ HANNAH BROOKE ROTE ” Practice Location

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