Active NPIIndividual providerSole proprietor

Timothy A A Rogers

Counselor, Mental Health in Portland, Oregon

NPI Number1053063487
Practice location
1505 NE 122ND Ave, Portland, OR 97230-1911
Fax
—
Last updated
January 26, 2022

Timothy A A Rogers is a Counselor, Mental Health based in Portland, OR. The NPI number for Timothy A A Rogers is 1053063487 and holds license No. lmsw-18262 (AZ). The current practice location address is 1505 NE 122ND Ave, Portland, OR 97230-1911 and the office can be reached by phone at 503-688-5361. The NPI was assigned on January 26, 2022 and the record was last updated in NPPES on January 26, 2022.

●Provider Profile Details

NPI Number
1053063487
Provider Name
Timothy A A Rogers
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Enumeration Date
January 26, 2022
Last Update Date
January 26, 2022
Certification Date
January 26, 2022
NPI Status
Active

◉Business Practice Location Address

Address
1505 NE 122ND Ave
Portland, OR 97230-1911
State
Oregon
ZIP
97230-1911
Country
US
Phone Number
503-688-5361

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✉Business Mailing Address

Address
1505 NE 122ND Ave
Portland, OR 97230-1911
City
Portland
State
OR
ZIP
97230-1911
Phone Number
503-688-5361

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Mental Health101YM0800XYeslmsw-18262AZ

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Timothy A A Rogers?

The NPI number of Timothy A A Rogers is 1053063487. It was assigned on January 26, 2022 and is currently active in the NPPES registry.

What is the specialty of Timothy A A Rogers?

Timothy A A Rogers is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X) and holds license No. lmsw-18262 (AZ).

Where does Timothy A A Rogers practice?

The practice location is 1505 NE 122ND Ave, Portland, OR 97230-1911. The office can be reached at 503-688-5361 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053063487 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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