Individual
MARK S ROWLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC 1/ CRM
Contact information
Practice address
11930 SE MILL CT, PORTLAND, OR 97216-3974
(503) 496-8465
Mailing address
11930 SE MILL CT, PORTLAND, OR 97216-3974
(503) 496-8465
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-09-11240
OR
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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