Individual
ROSE BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
33555 E COLUMBIA AVE, SUITE 214A, SCAPPOOSE, OR 97056-3436
(503) 543-3558
Mailing address
32797 NW PEAK RD, SCAPPOOSE, OR 97056-3035
(503) 543-3558
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0327
OR
Other
Enumeration date
01/05/2007
Last updated
07/08/2007
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