Individual
ROSLYN ROSENEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 239-8101
Mailing address
7110 SW FIR LOOP, TIGARD, OR 97223-8084
(971) 209-5811
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
Other
Enumeration date
03/07/2016
Last updated
06/20/2019
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