Zachary & Rooble LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ZACHARY & ROOBLE LLC

Doing business as

Zachary & Rooble LLC

Practice address

20632 SE Main Dr
Gresham, OR 97030-2250

Phone

(503) 912-6577

Fax

(503) 328-6055

NPI assigned

Jun 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ifrah S Mohammed, RN

Title

Register Nurse/ Manager

Phone

(503) 912-6577

Specialties & licenses 1

Addresses

Other names 1

• Zachary & Rooble LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1144951716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20632 SE MAIN DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302250",
            "telephone_number": "503-912-6577",
            "fax_number": "503-328-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20632 SE MAIN DR",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970302250",
            "telephone_number": "503-912-6577",
            "fax_number": "503-328-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY & ROOBLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "IFRAH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGISTER NURSE/ MANAGER",
        "authorized_official_telephone_number": "503-912-6577",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zachary & Rooble LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Johnny Yorga, LPC
• Amy Marie Young, CPNP
• Dylan Cordero Young, PT, DPT
• Janet Elaine Young, NCC
• Rebecca Youssef, PSYD
• Elizabeth M Zagreychuk
• Charlene Marie Zaharakis, RN
• Jennifer Louise Zakhireh, M.D.
• Molly Kathleen Zaninovich, MSW
• Luai Zarour, MD

• Nursing Care Agency in Gresham, OR
• Providers in Gresham, OR by specialty
• Nursing Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.