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Individual

DR. HAZEL SIOJO ROSETE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
847 NE 19TH AVE STE 150, PORTLAND, OR 97232-2686
(971) 279-5407
Mailing address
847 NE 19TH AVE STE 150, PORTLAND, OR 97232-2686

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3198
OR
103TH0100X
Health Service Psychologist
3198
OR

Other

Enumeration date
09/06/2018
Last updated
06/21/2023
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