Individual
DR. MARC CHAGALL ROTHGERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD157712
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2009
Last updated
04/16/2026
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