NICKOLAS ROCKENBACK

PORTLAND, OR
NPI1013776178
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-03-18
Last Update Date2024-03-18
Business Address
NICKOLAS ROCKENBACK MD
1015 NW 22ND AVE
PORTLAND, OR 97210-3025
Phone number: 503-413-7711
Mailing Address
NICKOLAS ROCKENBACK MD
400 SPRING ST APT 114
SAINT PAUL, MN 55102-4438
Phone number: 651-410-4621