Provider Demographics
NPI:1205155660
Name:ROCHESTER, ROCHELLE RENEE (NP)
Entity type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:RENEE
Last Name:ROCHESTER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ROCHELLE
Other - Middle Name:RENEE
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1047 SE TAMORA AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4753
Mailing Address - Country:US
Mailing Address - Phone:650-703-4338
Mailing Address - Fax:
Practice Address - Street 1:2870 SW CEDAR HILLS BLVD
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-1354
Practice Address - Country:US
Practice Address - Phone:503-646-9222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-25
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19817363LF0000X
OR201394154NP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily