Individual
DR. GENEVIEVE ROOTH STRANGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2659 COMMERCIAL ST SE STE 216, SALEM, OR 97302-4496
(971) 915-0195
Mailing address
170 W ELLENDALE AVE STE 103-322, DALLAS, OR 97338-1456
(971) 915-0195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
02-11-53
OR
103TC0700X
Clinical Psychologist
Primary
2209
OR
Other
Enumeration date
12/21/2012
Last updated
10/07/2021
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