Individual
DR. RICHARD JAY ROSENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2161 NE BROADWAY ST, PORTLAND, OR 97232-1512
(503) 402-1802
(503) 402-1802
Mailing address
3426 NE 19TH AVE, PORTLAND, OR 97212-2407
(503) 402-1802
(503) 402-1802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
500
OR
Other
Enumeration date
07/31/2006
Last updated
07/11/2011
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