Individual
ROSEMARIE ENEDELIA TREVINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12725 SW MILLIKAN WAY STE 300, BEAVERTON, OR 97005-1687
(503) 906-7945
Mailing address
767 SHENANDOAH DR SE, SALEM, OR 97317-5759
(541) 992-0543
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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