Tessa Rae Rose, LE

Primary specialty

SpecialistTaxonomy code 174400000X

License

BAP-E-10159328 Issued in OR

Practice address

164 Market Ave
Coos Bay, OR 97420-2335

Phone

(541) 404-2441

NPI assigned

Sep 22, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1275445272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MARKET AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202335",
            "telephone_number": "541-404-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MARKET AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202335",
            "telephone_number": "541-404-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "TESSA",
        "middle_name": "RAE",
        "credential": "LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "BAP-E-10159328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Rodgers
• Derek Knight Rogalsky, M.D.
• Karen Rohlf, DPT
• Lisa D Rojas, LCSW
• Gary Dean Roper, PT
• Elise Rosenhave, CCC-SLP
• Caitlin Belle Rowley
• David Keven Rudder
• Gina Rushton, RN
• Leslie Ryan, MS, QMHA

• Specialist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.