Jesse Rorvig, LPC INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

R4737 Issued in OR

Practice address

2328 NE Fremont St
Portland, OR 97212-2453

Phone

(952) 212-0704

NPI assigned

Oct 21, 2017

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jesse N Rorvig Professional name

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": "1508544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508544000000",
    "number": "1861903510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 N BALDWIN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972176004",
            "telephone_number": "952-212-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2328 NE FREMONT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972122453",
            "telephone_number": "952-212-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RORVIG",
        "first_name": "JESSE",
        "credential": "LPC INTERN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-21",
        "last_updated": "2017-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R4737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSE",
            "last_name": "RORVIG",
            "middle_name": "N",
            "prefix": "MR.",
            "credential": "LPC INTERN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christine Roque
• Jazmin Roque
• John Paul Pekson Roque, PHARM.D.
• Remigio Roque
• Angel Lazaro Roques, LMT
• Kayla Marie Rorvig
• Judith B Ros, LPC
• Cathryn Eileen Rosa, N.D.
• Jill E Rosa, PHARMD
• Joebert Lopez Rosal, MD

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2017; 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.