Healthcare Provider Details

I. General information

NPI: 1730856360
Provider Name (Legal Business Name): TAYLOR MORGAN ROTHI LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PIER 1 STE 204
ASTORIA OR
97103-6328
US

IV. Provider business mailing address

10 PIER 1 STE 204
ASTORIA OR
97103-6328
US

V. Phone/Fax

Practice location:
  • Phone: 971-350-3737
  • Fax: 888-971-4017
Mailing address:
  • Phone: 971-350-3737
  • Fax: 888-971-4017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLMSW-41197
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: