Individual
COURDAY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R
Contact information
Practice address
11104 SE STARK ST, PORTLAND, OR 97216-3353
(971) 703-4623
(971) 266-5668
Mailing address
11104 SE STARK ST, PORTLAND, OR 97216-3353
(971) 703-4623
(971) 266-5668
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-24-4640
OR
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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