Rogers, Timothy J

Rogers, Timothy J is an individual health care provider with primary practice located at 209 Nw 2Nd St , Newport OR 97365-3756. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Rogers, Timothy J can be contacted via phone (541) 378-5309.

Contact Information

Primary practice address
209 Nw 2Nd St Newport OR 97365-3756
Phone: (541) 378-5309
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X C4026 Oregon

Profile Details

NPI number 1174879035
LBN Legal business name Rogers, Timothy J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2012
Last updated Sep 25th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174879035 NPPES
Oregon MEDICAID 500704910

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