Provider Demographics
NPI:1376140160
Name:ROHRBECK, CASEY RAE (ND)
Entity Type:Individual
Prefix:DR
First Name:CASEY
Middle Name:RAE
Last Name:ROHRBECK
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
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Mailing Address - Street 1:16431 NE HOYT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-5845
Mailing Address - Country:US
Mailing Address - Phone:760-271-9983
Mailing Address - Fax:844-222-4401
Practice Address - Street 1:6214 SE MILWAUKIE AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-5417
Practice Address - Country:US
Practice Address - Phone:503-567-8718
Practice Address - Fax:844-222-4401
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2023-10-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OR4349175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath