Individual
CORTNEY ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1913 NE 88TH AVE, PORTLAND, OR 97220-5513
(503) 860-8913
(503) 296-5494
Mailing address
3439 NE SANDY BLVD # 325, PORTLAND, OR 97232-1959
(503) 506-8182
(503) 296-5494
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/21/2022
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