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

Timothy A A Rogers

Individual provider Mental Health Counselor · NPI 1053063487

Timothy A A Rogers is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

1505 NE 122nd Ave
Portland, OR 97230-1911
Phone: (503) 688-5361
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LMSW-18262 (AZ)

Record details

NPI number1053063487
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 26, 2022
Last updated in NPPESJanuary 26, 2022
Certification dateJanuary 26, 2022
Mailing address1505 Ne 122nd Ave, Portland, OR 97230-1911

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