Individual
SAGE DELEGATO ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
805 SE 151ST AVE, PORTLAND, OR 97233-2916
(971) 271-7270
(971) 302-6064
Mailing address
805 SE 151ST AVE, PORTLAND, OR 97233-2916
(971) 271-7270
(971) 302-6064
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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