TIMOTHY A A ROGERS
NPI 1053063487
Counselor - Mental Health in Portland, OR

Active since January 26, 2022
1505 NE 122ND AVE, PORTLAND, OR 97230(503) 688-5361 Get Directions Write a Review

NPPES record last updated: January 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Timothy A A Rogers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY A A ROGERS (NPI 1053063487) is an individual mental health provider in Portland, Oregon, licensed in Arizona (LMSW-18262) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1053063487
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTIMOTHY A A ROGERS
Location Address1505 NE 122ND AVEPortland, OR 97230-1911
Mailing Address1505 Ne 122nd AvePortland, OR 97230-1911 · (503) 688-5361
Sole ProprietorYes
Enumeration DateJanuary 26, 2022
NPPES CertifiedJanuary 26, 2022
NPI 1053063487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in AZ · LMSW-18262
1505 NE 122ND AVE, Portland, OR 97230

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1505 NE 122ND AVE
PORTLAND, OR 97230
Case Manager/Care Coordinator
1505 NE 122ND AVE
PORTLAND, OR 97230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy A Rogers's NPI number?

The NPI number for Timothy A Rogers is 1053063487. It was assigned to this individual provider in the NPPES registry on January 26, 2022.

Where is Timothy A Rogers located?

Timothy A Rogers practices at 1505 NE 122nd Ave, Portland, OR 97230. The listed phone number is (503) 688-5361.

What is Timothy A Rogers's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Timothy A Rogers was last updated on January 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.