Individual
DESIREE JEANNE ROOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
1248 PENN ST SW, ALBANY, OR 97321-2145
(971) 276-3608
Mailing address
1248 PENN ST SW, ALBANY, OR 97321-2145
(971) 276-3608
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
THW000002909
OREGON HEALTH AUTHORITY
OR
Enumeration date
03/22/2019
Last updated
03/22/2019
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