Individual
CATHERINE BLANCHE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 SE 12TH AVE, PORTLAND, OR 97214-2513
(503) 610-3510
Mailing address
1016 SE 12TH AVE, PORTLAND, OR 97214-2513
(503) 610-3510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7311
OR
Other
Enumeration date
10/12/2011
Last updated
07/21/2022
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