Individual
ROBERT CHARLES ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, C-CATODSW
Contact information
Practice address
12250 SW 2ND ST, BEAVERTON, OR 97005-2828
(971) 249-2319
(503) 601-0049
Mailing address
13190 SW TRIGGER DR, BEAVERTON, OR 97008-7689
(503) 453-3968
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1988
OR
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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