Individual
MS. BARBARA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CADC III, MAC
Contact information
Practice address
12555 SW 1ST ST, BEAVERTON, OR 97005-0546
(503) 407-1703
Mailing address
15675 SW BEVERLY BEACH CT, BEAVERTON, OR 97007-5025
(503) 407-1703
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-R-22
OR
Other
Enumeration date
04/17/2014
Last updated
05/06/2014
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