Provider Demographics
NPI:1518998863
Name:ROUHIER, JANA KATHLEEN (DO)
Entity Type:Individual
Prefix:DR
First Name:JANA
Middle Name:KATHLEEN
Last Name:ROUHIER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:JANA
Other - Middle Name:KATHLEEN
Other - Last Name:MCKEOWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-494-8311
Mailing Address - Fax:503-413-7780
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-8311
Practice Address - Fax:503-413-7780
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO26614208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR028304Medicaid
1518998863Medicare PIN
I57486Medicare UPIN