Alicia Roge, MA, MFT INTERN

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

R4192 Issued in OR

Practice address

4815 NE 30TH Ave
Portland, OR 97211-7005

Phone

(503) 558-5968

NPI assigned

Sep 12, 2016

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1473638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1801344437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 NE 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972117005",
            "telephone_number": "503-558-5968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 NE 30TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972117005",
            "telephone_number": "503-558-5968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGE",
        "first_name": "ALICIA",
        "credential": "MA, MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "R4192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Morgan Roff, MPS, ATR-BC, LCAT
• Shirley P. Roffe, M.D.
• Katherine E Rog, M.D.
• Kayleigh T Rogalski, PSYD
• Alice Rogan, MD PHD
• Alexandra Rogers
• Alicia Rogers, CRM
• Anissa Rogers, PHD, MSW, MA, LCSW
• Beth Ann Rogers, LMT
• Caleb Charles Rogers, MD

• Marriage & Family Therapist in Portland, OR
• Providers in Portland, 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 Sep 12, 2016; 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.