Individual
MS. IVY PEARL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.F.T.
Contact information
Practice address
1500 NW BETHANY BLVD STE 320, BEAVERTON, OR 97006-5208
(425) 736-7919
Mailing address
10700 SW BEAVERTON HILLSDALE HWY, SUITE 450, BEAVERTON, OR 97005-3019
(503) 567-1652
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/16/2006
Last updated
09/29/2016
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