Organization
BLUE ROSE COOPERATIVE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER D PATTON MA, LPC, LMHC, LPCC (FOUNDER)
(612) 598-5639
Entity
Organization
Contact information
Practice address
3803 NE 142ND AVE, PORTLAND, OR 97230-3545
(612) 598-5639
Mailing address
3803 NE 142ND AVE, PORTLAND, OR 97230-3545
(612) 598-5639
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/14/2024
Last updated
12/14/2024
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