Provider Demographics
NPI:1780925511
Name:ROCHON, TIMOTHIE JANE (DNP, CNM, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:TIMOTHIE
Middle Name:JANE
Last Name:ROCHON
Suffix:
Gender:F
Credentials:DNP, CNM, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 SE WOODSTOCK BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-8199
Mailing Address - Country:US
Mailing Address - Phone:503-517-7831
Mailing Address - Fax:
Practice Address - Street 1:5380 SE 28TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97202-4541
Practice Address - Country:US
Practice Address - Phone:503-777-7281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-04
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201350011NP367A00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife