Individual
GABRIELA SIMONE ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 SE 105TH AVE APT 25, PORTLAND, OR 97216-2834
(951) 522-0905
Mailing address
975 SE SANDY BLVD STE 100, PORTLAND, OR 97214-1399
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10433
OR
Other
Enumeration date
11/16/2016
Last updated
03/10/2021
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