Rose Bourgeois, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T0327 Issued in OR

Practice address

33555 E Columbia Ave
Suite 214a
Scappoose, OR 97056-3436

Phone

(503) 543-3558

NPI assigned

Jan 5, 2007

Last updated

Jul 8, 2007By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629126958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32797 NW PEAK RD",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563035",
            "telephone_number": "503-543-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33555 E COLUMBIA AVE",
            "address_2": "SUITE 214A",
            "city": "SCAPPOOSE",
            "state": "OR",
            "postal_code": "970563436",
            "telephone_number": "503-543-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURGEOIS",
        "first_name": "ROSE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T0327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leslie K Bagon, LCSW
• Holly Balsbaugh, N.P.
• Mary E Bartlett, APRN
• Abigail Ruth Blackmore, MSN, RN TCRN
• Tonya N Bonifer, PT, DPT, CSRS
• Dianna Kay Bowlen, MSW, LCSW
• Brave Roots Counseling Center LLC
• Aubrey Bridges
• Teah Lynn Brown, DC, LMT
• Josefina Bucio Li

• Marriage & Family Therapist in Scappoose, OR
• Providers in Scappoose, OR by specialty
• Marriage & Family 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.