Active NPI
Marc Alan Rott
- Social Worker
- Newberg, OR
National Provider Identifier
1821224601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- L4346
- Practice address
- 307 E 2ND St Ste 130
Newberg, OR 97132-3076 - Phone
- (503) 679-5019
- NPI assigned
- Jun 6, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | L4346 | OR | Primary |
Addresses
Primary practice location
307 E 2ND St Ste 130
Newberg, OR 97132-3076
Mailing address
19673 Toni CT
Oregon City, OR 97045-7992
Phone (503) 679-5019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L4346 | OR | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244246400000",
"number": "1821224601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19673 TONI CT",
"city": "OREGON CITY",
"state": "OR",
"postal_code": "970457992",
"telephone_number": "503-679-5019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 E 2ND ST STE 130",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971323076",
"telephone_number": "503-679-5019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROTT",
"first_name": "MARC",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-06",
"last_updated": "2009-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OR",
"license": "L4346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.