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Roopa Mukund, PA-C
NPI 1982172946 · on the registry since 2018
Practice
- Address
- 1445 Gateway Blvd
Cottage Grove, OR 97424 - Phone
- (541) 942-7000
- Fax
- (541) 942-7429
- Organisation at this address
- Icco Llc
Icco, Llc
Gateway Counseling Center, P.C.
Covered Bridge Physical Therapy LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 12581 Milstead Way Ste 103, Woodbridge, VA
- 101 N East Plz, North East, MD
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Also registered as
- Physician Assistant
Medical Physician Assistant
Physician Assistant
Physician Assistant
Medical Physician Assistant - Licence states on file
- MD, TX, CA, VA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon