Individual
ANDREW ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
12555 SW 1ST ST, BEAVERTON, OR 97005-0546
(503) 547-4695
Mailing address
11575 SW PACIFIC HWY # 202, TIGARD, OR 97223-8671
(503) 547-4695
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7190
OR
Other
Enumeration date
01/19/2012
Last updated
07/21/2022
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