Sean Roush, QMHP

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1027632 Issued in OR

Practice address

627 NE Evans St
McMinnville, OR 97128-3923

Phone

(503) 434-7523

NPI assigned

Feb 12, 2007

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306988944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 NW DYREKA CT",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285338",
            "telephone_number": "503-434-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 NE EVANS ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283923",
            "telephone_number": "503-434-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "SEAN",
        "credential": "QMHP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "1027632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "1027632",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin A. Root
• Jarettsy Rosales Verduzco
• Mark Rose, M.D.
• Michael K Rothman, PT
• Molly Rouse, RN, BSN
• Joshua A Rowley, D.M.D.
• Laura Rudeen, LPC
• Jordan Dawn Ruiz
• Belinda Russell, CRM
• Deanna Nicole Russell, M.S.

• All providers in McMinnville, OR
• Occupational Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.