Ava Rotrock, is a
Social Worker - Clinical based in Portland, Oregon. Ava Rotrock is licensed to practice in Oregon (license number ) and her current practice location is
8383 Ne Sandy Blvd Ste 205, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 530-9642.
NPI number for Ava Rotrock is 1376913939 and her current mailing address is 8383 Ne Sandy Blvd Ste 205, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376913939.
Healthcare Provider's Profile
Full Name | Ava Rotrock |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8383 Ne Sandy Blvd Ste 205, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376913939
- Provider Enumeration Date: 09/25/2015
- Last Update Date: 12/16/2024
Medical Identifiers
Medical identifiers for Ava Rotrock such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376913939 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ava Rotrock is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ava Rotrock, 8383 Ne Sandy Blvd Ste 205, Portland, OR 97220-4967 Ph: (503) 530-9642 | Ava Rotrock, 8383 Ne Sandy Blvd Ste 205, Portland, OR 97220-4967 Ph: (503) 530-9642 |
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