# DR. SUSAN S. ROSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1750318788
- **Gender:** F
- **Credential:** PHD, GCNS-BC, PMHNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 200850041NP | OR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP60031978 | WA | Yes |
| 364SG0600X | Gerontology Clinical Nurse Specialist | 200470003 | OR | — |

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 05/02/2025