Individual provider · Type 1 NPI

Rudy Roque, NP

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1831933100 Active

Practice location

1410 NE 106th Ave
Portland, OR 97220-3934

Fax (503) 460-0434

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X10050382 (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

14 other providers at this address

Other psychiatric/mental health nurse practitioner providers in Portland

See all in Portland →

About NPI 1831933100

Rudy Roque, NP's National Provider Identifier is 1831933100, issued on Jun 21, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Oct 22, 2026.