Individual
CELESTE ANGELITA PROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
5050 NE HOYT ST STE B55, PORTLAND, OR 97213-2957
(503) 233-5393
(503) 659-8984
Mailing address
5050 NE HOYT ST STE B55, PORTLAND, OR 97213-2957
(503) 233-5393
(503) 659-8984
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
1041C0700X
Clinical Social Worker
Primary
L10408
OR
Other
Enumeration date
07/12/2013
Last updated
04/07/2022
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