Individual provider · Type 1 NPI

Mary Elizabeth Rotberg, NP

Family Nurse Practitioner · Portland, OR

NPI number 1053866764 Active

Practice location

202 NW 13th Ave
Portland, OR 97209-2953

Fax (503) 941-3777

Mailing address

19075 NW Tanasbourne Dr Ste 200
Hillsboro, OR 97124-5866

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201606595NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1053866764

Mary Elizabeth Rotberg, NP's National Provider Identifier is 1053866764, issued on Aug 23, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Dec 30, 2021.