Provider Demographics
NPI:1013489707
Name:ROHRBECK, STEPHEN TODD (LPC)
Entity Type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:TODD
Last Name:ROHRBECK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7180 SW FIR LOOP STE 100
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8077
Mailing Address - Country:US
Mailing Address - Phone:503-639-3009
Mailing Address - Fax:503-588-0139
Practice Address - Street 1:4060 MACLEAY RD SE STE A
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97317-5801
Practice Address - Country:US
Practice Address - Phone:503-639-3009
Practice Address - Fax:503-588-0139
Is Sole Proprietor?:No
Enumeration Date:2018-12-19
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3851101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional