Provider Demographics
NPI:1700818549
Name:SILVER, ROCHELLE LANE (PHD)
Entity Type:Individual
Prefix:DR
First Name:ROCHELLE
Middle Name:LANE
Last Name:SILVER
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 1:6485 SW BORLAND RD
Mailing Address - Street 2:STE D
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062
Mailing Address - Country:US
Mailing Address - Phone:503-692-1985
Mailing Address - Fax:503-692-4774
Practice Address - Street 1:6485 SW BORLAND RD
Practice Address - Street 2:STE D
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062
Practice Address - Country:US
Practice Address - Phone:503-692-1985
Practice Address - Fax:503-692-4774
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR300103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
0000TCJCJMedicare ID - Type Unspecified