Healthcare Provider Details

I. General information

NPI: 1689568248
Provider Name (Legal Business Name): CHELSEE JANE ROHAN LPSC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 222
ENTERPRISE OR
97828-0222
US

IV. Provider business mailing address

PO BOX 222
ENTERPRISE OR
97828-0222
US

V. Phone/Fax

Practice location:
  • Phone: 541-426-7600
  • Fax: 541-426-3732
Mailing address:
  • Phone: 541-426-7600
  • Fax: 541-426-3732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number63406
License Number StateOR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: