Individual
AVA ROTROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8383 NE SANDY BLVD STE 205, PORTLAND, OR 97220-4967
(503) 530-9642
Mailing address
8383 NE SANDY BLVD STE 205, PORTLAND, OR 97220-4967
(503) 530-9642
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
OR
Other
Enumeration date
09/25/2015
Last updated
12/16/2024
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