# RAVEN & ROSE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528945813
- **Authorized official:** VALENCA VALENZUELA LCSW (OWNER)
- **Authorized official phone:** (971) 266-1012

## Contact information

- **Practice address:** 5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
- **Practice address phone:** (971) 266-1012
- **Mailing address:** 3109 NE 133RD AVE, PORTLAND, OR 97230-2807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 08/19/2025
- **Last updated:** 08/19/2025