Organization
DESERT ROSE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABIGAIL BULLOCK (PROFESSIONAL COUNSELOR ASSOCIATE)
(503) 319-4782
Entity
Organization
Contact information
Practice address
1942 NW KEARNEY ST STE 11, PORTLAND, OR 97209-1463
(503) 389-0030
Mailing address
1942 NW KEARNEY ST, PORTLAND, OR 97209-1426
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821670670
NPI TYPE 1
OR
05
—
500792702
—
OR
Enumeration date
08/07/2025
Last updated
12/11/2025
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