Individual
THOMAS WILLIAM ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10163 SE SUNNYSIDE RD, STE 490, CLACKAMAS, OR 97015-5743
(503) 513-4414
(503) 513-4424
Mailing address
10163 SE SUNNYSIDE RD, STE 490, CLACKAMAS, OR 97015-5743
(503) 513-4414
(503) 513-4424
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001207
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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