VICKIE ELLEN ROTHROCK PNP
NPI 1982619482
Nurse Practitioner - Pediatrics in Portland, OR
About Vickie Ellen Rothrock Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VICKIE ELLEN ROTHROCK PNP (NPI 1982619482) is an individual pediatrics provider in Portland, Oregon, licensed in Oregon (082010299N2) and active in the NPI registry since July 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vickie Rothrock's NPI number?
The NPI number for Vickie Rothrock is 1982619482. It was assigned to this individual provider in the NPPES registry on July 31, 2006.
Where is Vickie Rothrock located?
Vickie Rothrock practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 418-5710.
What is Vickie Rothrock's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
When was this NPI record last updated?
The NPPES record for Vickie Rothrock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vickie Ellen Rothrock, PNP · NPI 1982619482
Pediatrics physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since July 31, 2006.
## Identity
- **NPI:** 1982619482 (Entity type: Individual)
- **Enumerated:** July 31, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 082010299N2 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 418-5710
## Record status
- **NPPES last updated:** July 8, 2007
- **Other identifiers:** Medicare UPIN S98101; Medicaid 276684 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1982619482) · Data from the CMS NPPES public registry.