Active NPI
Rosemarie Joy Minkler, PMHNP
- Psychiatry Physician
- Portland, OR
National Provider Identifier
1477492312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 10058455
- Practice address
- 917 SW Oak St Ste 417
Portland, OR 97205-2807 - Phone
- (971) 402-2641
- Fax
- (971) 502-1859
- NPI assigned
- Mar 26, 2026
- Last updated
- Mar 26, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | AP70105852 | WA | |
| Psychiatry Physician | 2084P0800X | 10058455 | OR | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 10058455 | OR | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | AP70105852 | WA |
Addresses
Primary practice location
917 SW Oak St Ste 417
Portland, OR 97205-2807
Mailing address
917 SW Oak St Ste 417
Portland, OR 97205-2807
Phone (971) 402-2641
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10058455 | OR | MD | Psychiatry Physician |
| AP70105852 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774483200000",
"number": "1477492312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 SW OAK ST STE 417",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052807",
"telephone_number": "971-402-2641",
"fax_number": "971-502-1859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 SW OAK ST STE 417",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972052807",
"telephone_number": "971-402-2641",
"fax_number": "971-502-1859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINKLER",
"first_name": "ROSEMARIE",
"middle_name": "JOY",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-03-26",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "AP70105852",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "10058455",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OR",
"license": "10058455",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WA",
"license": "AP70105852",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.