Healthcare Provider Details

I. General information

NPI: 1275810665
Provider Name (Legal Business Name): ESTHER GABRIELLE ROSENGARTEN PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2011
Last Update Date: 05/15/2023
Certification Date: 05/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7766 SW BAYBERRY DR
BEAVERTON OR
97007-5551
US

IV. Provider business mailing address

7766 SW BAYBERRY DR
BEAVERTON OR
97007-5551
US

V. Phone/Fax

Practice location:
  • Phone: 971-357-2275
  • Fax: 971-369-7509
Mailing address:
  • Phone: 971-357-2275
  • Fax: 971-369-7509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number201708238RN
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number20170823NP
License Number StateOR
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number20170823NP-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: