Individual
DR. ROXANNE MOSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW LICENSED CLINIC
Contact information
Practice address
1211 NW GLISAN ST, SUITE 205, PORTLAND, OR 97209
(503) 225-1177
Mailing address
PO BOX 3573, PORTLAND, OR 97208-3573
(503) 225-1177
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW 1792
OR
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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