Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jazmin Roque

Individual provider Mental Health Counselor · NPI 1902698640

Jazmin Roque is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3615 NE Grand Ave
Portland, OR 97212-2104
Phone: (503) 281-1166
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1902698640
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2025
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

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