Individual
SAVANNAH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31700 FAYETTEVILLE DR, SHEDD, OR 97377-9779
(541) 603-9981
Mailing address
18600 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6723
(503) 946-3267
(503) 974-2417
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
26-CRM-5562
OR
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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