Individual
ANDREA LUCIO ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
9620 NE TANASBOURNE DR STE 300, HILLSBORO, OR 97124-7844
(503) 207-5476
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R6312
OR
372600000X
Adult Companion
—
—
Other
Enumeration date
06/22/2015
Last updated
11/23/2022
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