Healthcare Provider Details

I. General information

NPI: 1780925511
Provider Name (Legal Business Name): TIMOTHIE JANE ROCHON DNP, CNM, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2013
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
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: 971-366-4850
  • Fax: 888-971-4017
Mailing address:
  • Phone: 971-366-4850
  • Fax: 888-971-4017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number201350011NP
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number201350011NP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: