Forrest William Rosser, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

TO336 Issued in OR

Practice address

4900 SW Griffith Dr Ste 235
Beaverton, OR 97005-4649

Phone

(971) 217-6475

Fax

(503) 526-3912

NPI assigned

Jul 27, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Judith Lynn Pulliam

  • Adult Mental Health Clinic/Center
  • Beaverton, OR
  • NPI 1588211510
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722038400000",
    "number": "1063241222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR STE 235",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054649",
            "telephone_number": "971-217-6475",
            "fax_number": "503-526-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SW GRIFFITH DR STE 235",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054649",
            "telephone_number": "971-217-6475",
            "fax_number": "503-526-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "FORREST",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-27",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "TO336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Ross, LMT
• Ivy Pearl Ross, M.F.T.
• Jielian Ross
• Robert Charles Ross, LCSW, C-CATODSW
• Warren Edward Ross, LMT, BCMT
• Heath Ryan Rossi, MA
• Virginia Rae Rosvold, M.S.W.
• Marc Chagall Rothgery, M.D.
• Genevieve Claire Rowe, C.D.
• Polly Anna Rowland, MA

• Marriage & Family Therapist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.