Organization
CEMENTED ROSE THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARNISSA T SECRETT (BEHAVIORAL HEALTH DIRECTOR)
(971) 227-3553
Entity
Organization
Contact information
Practice address
4110 NE 122ND AVE STE 115, PORTLAND, OR 97230-1384
(971) 227-3553
Mailing address
4110 NE 122ND AVE STE 115, PORTLAND, OR 97230-1384
(971) 227-3553
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6941
OR
Other
Enumeration date
06/12/2017
Last updated
09/06/2023
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