Organization Active NPI

Rochelle Pegel

  • Health Maintenance Organization
  • Lake Oswego, OR
National Provider Identifier
1497096275
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
C1113 Issued in OR
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

Updated by the provider on Mar 4, 2013

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.