Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Marc Chagall Rothgery, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1366677874

Dr. Marc Chagall Rothgery, MD is a Family Practice in Beaverton, Oregon. Graduated from Albany Medical College of Union University in 2009, 17 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
17
Trained at
Albany Medical College of Union University
Licensed in
OR
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4855 SW Western Ave
Beaverton, OR 97005-3460
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1223 E 600 S, Salt Lake City, UT 84102-3202 — (518) 258-6881

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD157712 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1366677874
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 28, 2009
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address500 Ne Multnomah St Ste 100, Portland, OR 97232-2031

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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