Healthcare Provider Details

I. General information

NPI: 1770492977
Provider Name (Legal Business Name): PACIFIC NORTHWEST PSYCHIATRIC GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9620 NE TANASBOURNE DR STE 300
HILLSBORO OR
97124-7844
US

IV. Provider business mailing address

9620 NE TANASBOURNE DR STE 300
HILLSBORO OR
97124-7844
US

V. Phone/Fax

Practice location:
  • Phone: 503-828-9934
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER ROHMAN
Title or Position: OWNER/PRACTICE MANAGER
Credential:
Phone: 407-618-4233