Individual
MS. BARBARA SUE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
10163 SE SUNNYSIDE RD, SUITE NO. 490, CLACKAMAS, OR 97015
(503) 513-4423
Mailing address
744 NW WESTOVER SQ., PORTLAND, OR 97210
(503) 513-4423
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LPC C0811
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C0811
LPC LICENSE
OR
Enumeration date
10/03/2006
Last updated
07/08/2007
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