Provider Demographics
NPI:1699819110
Name:ROHRBAUGH, PAULA (PHD)
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:
Last Name:ROHRBAUGH
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4742 LIBERTY RD S
Mailing Address - Street 2:PMB# 244
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-5037
Mailing Address - Country:US
Mailing Address - Phone:503-399-7844
Mailing Address - Fax:503-587-7335
Practice Address - Street 1:1655 CAPITOL ST NE
Practice Address - Street 2:SUITE# 10
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97303-6445
Practice Address - Country:US
Practice Address - Phone:503-399-7844
Practice Address - Fax:503-587-7335
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TB0200X, 103TC1900X, 103TF0000X
OR251103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist