Individual
BETH ROSSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, CADCII
Contact information
Practice address
8555 SW APPLE WAY STE 320, PORTLAND, OR 97225-1775
(971) 727-0563
Mailing address
8555 SW APPLE WAY STE 320, PORTLAND, OR 97225-1775
(971) 727-0563
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
09-12-63
OR
1041C0700X
Clinical Social Worker
Primary
L6827
OR
Other
Enumeration date
12/28/2012
Last updated
04/23/2018
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