Active NPI
Rochelle Pegel
- Health Maintenance Organization
- Lake Oswego, OR
National Provider Identifier
1497096275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- C1113
- Legal business name
- ROCHELLE PEGEL
- Practice address
- 15000 Davis LN Apt B18
Lake Oswego, OR 97035-2610 - Phone
- (503) 235-5138
- NPI assigned
- Mar 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rochelle Anne Pegel, PHD
- Title
- Child and Family Therapist
- Phone
- (503) 235-5138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | C1113 | OR | Primary |
Addresses
Primary practice location
15000 Davis LN Apt B18
Lake Oswego, OR 97035-2610
Mailing address
15000 Davis LN Apt B18
Lake Oswego, OR 97035-2610
Phone (503) 235-5138
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362355200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362355200000",
"number": "1497096275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15000 DAVIS LN APT B18",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352610",
"telephone_number": "503-235-5138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15000 DAVIS LN APT B18",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352610",
"telephone_number": "503-235-5138"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCHELLE PEGEL",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-04",
"last_updated": "2013-03-04",
"status": "A",
"authorized_official_last_name": "PEGEL",
"authorized_official_first_name": "ROCHELLE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CHILD AND FAMILY THERAPIST",
"authorized_official_telephone_number": "503-235-5138",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "OR",
"license": "C1113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.