Individual
MS. STACY MICHELLE ROSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 E 14TH ST, THE DALLES, OR 97058-3974
(541) 399-6156
Mailing address
2907 MONTELLO PL, HOOD RIVER, OR 97031-1094
(541) 399-6156
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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