Individual
ROSALIE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCI
Contact information
Practice address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(503) 224-1044
(503) 621-2235
Mailing address
4701 SW MARTHA ST, PORTLAND, OR 97221-2943
(503) 224-1044
(503) 621-2235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126370
—
OR
Enumeration date
04/04/2007
Last updated
07/08/2007
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