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NPI Code Detail

MEDICARE: MACKENZIE ROHRBACHER

MEDICARE: MACKENZIE ROHRBACHER
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1881312494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE ROHRBACHER
Provider Business Mailing Address
First Line : 514 SE BELMONT ST APT 708
Second Line :
City : PORTLAND
State : OR
Zip : 97214-4686
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 121 E HISTORIC COLUMBIA RIVER HWY
Second Line :
City : TROUTDALE
State : OR
Zip : 97060-2006
Country : US
Telephone Number : 503-890-0440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2022
Last Update Date : 08/19/2022

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Directions to “ MACKENZIE ROHRBACHER ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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