Individual
DR. INGRID ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D LPC
Contact information
Practice address
922 NW 11TH AVE, APT 403, PORTLAND, OR 97209-2776
(503) 248-1608
(503) 248-1608
Mailing address
922 NW 11TH AVE, APT 403, PORTLAND, OR 97209-2776
(503) 248-1608
(503) 248-1608
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C3057
OR
Other
Enumeration date
11/06/2006
Last updated
05/29/2013
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