ERIC ROSE MA
NPI 1922428564
Counselor - Mental Health in Portland, OR

Q: What is Eric Rose's NPI number?

The NPI number for Eric Rose is 1922428564. It was assigned to this individual provider in the NPPES registry on April 22, 2014. The provider is also known as Eric Norman.

Q: What is Eric Rose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eric Rose was last updated on November 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 22, 2014PECOS Enrolled

905 SE 14TH AVE, PORTLAND, OR 97214(503) 622-8964(503) 715-5469 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Eric Rose Ma NPPES

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

ERIC ROSE MA (NPI 1922428564) is an individual mental health provider in Portland, Oregon and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922428564

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameERIC ROSECredential: MA

Location Address905 SE 14TH AVEPortland, OR 97214-2569

Mailing Address905 Se 14th AvePortland, OR 97214-2569 · (503) 622-8964 · Fax (503) 715-5469

Phone(503) 622-8964

Fax(503) 715-5469

Sole ProprietorNo

Enumeration DateApril 22, 2014

Last NPPES UpdateNovember 6, 2023

NPPES CertifiedNovember 6, 2023

✔ NPI 1922428564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

905 SE 14TH AVE, Portland, OR 97214

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Other Names 1

Former Name (1)Eric Norman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eric Rose Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

HANNAH PHYL WESTBROCK

Counselor (Mental Health)