Individual
MR. MARC ALAN ROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
307 E 2ND ST STE 130, NEWBERG, OR 97132-3076
(503) 679-5019
Mailing address
19673 TONI CT, OREGON CITY, OR 97045-7992
(503) 679-5019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L4346
OR
Other
Enumeration date
06/06/2009
Last updated
06/06/2009
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