Organization
MARIPOSA WELLNESS & COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA ROSKOTT LCSW (OWNER)
(503) 867-5109
Entity
Organization
Contact information
Practice address
685 PORTLAND AVE, GLADSTONE, OR 97027-2117
(503) 867-5109
Mailing address
685 PORTLAND AVE, GLADSTONE, OR 97027-2117
(503) 867-5109
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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