JAZMIN ROQUE
NPI 1902698640
Counselor - Mental Health in Portland, OR

Active since May 19, 2025
3615 NE GRAND AVE, PORTLAND, OR 97212(503) 281-1166 Get Directions Write a Review

NPPES record last updated: May 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jazmin Roque NPPES

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

JAZMIN ROQUE (NPI 1902698640) is an individual mental health provider in Portland, Oregon and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1902698640
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAZMIN ROQUE
Location Address3615 NE GRAND AVEPortland, OR 97212-2104
Mailing Address5316 E Burnside St Apt 14Portland, OR 97215-1280 · (208) 602-3887
Sole ProprietorNo
Enumeration DateMay 19, 2025
NPPES CertifiedMay 19, 2025
NPI 1902698640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3615 NE GRAND AVE, Portland, OR 97212

Other Providers at the Same Location NPPES 20

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

Counselor
3615 NE GRAND AVE
PORTLAND, OR 97212
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Marriage & Family Therapist
3615 NE GRAND AVE
PORTLAND, OR 97212
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Acupuncturist
3615 NE GRAND AVE
PORTLAND, OR 97212
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212
Counselor (Mental Health)
3615 NE GRAND AVE
PORTLAND, OR 97212

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 Jazmin Roque's NPI number?

The NPI number for Jazmin Roque is 1902698640. It was assigned to this individual provider in the NPPES registry on May 19, 2025.

Where is Jazmin Roque located?

Jazmin Roque practices at 3615 NE Grand Ave, Portland, OR 97212. The listed phone number is (503) 281-1166.

What is Jazmin Roque'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 Jazmin Roque was last updated on May 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.