Organization
ROSE CITY THERAPISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK GLUZINSKI (PRACTICE MANAGER)
(503) 908-3012
Entity
Organization
Contact information
Practice address
3434 S KELLY AVE, PORTLAND, OR 97239-4630
(503) 908-3012
(503) 908-2382
Mailing address
3747 SE MORRISON ST, PORTLAND, OR 97214-3209
(503) 908-3012
(503) 908-2382
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/24/2021
Last updated
07/30/2024
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