Provider Demographics
NPI:1770289142
Name:ROHRIG, AMELIA (PMHNP)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:ROHRIG
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1143 OAK ST STE 208
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5646
Mailing Address - Country:US
Mailing Address - Phone:541-824-0755
Mailing Address - Fax:
Practice Address - Street 1:1143 OAK ST STE 208
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5646
Practice Address - Country:US
Practice Address - Phone:541-824-0755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10044236363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health