Individual
ELISE ROSENHAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1350 TEAKWOOD AVE, COOS BAY, OR 97420-2537
(541) 269-1611
Mailing address
33541 RICKETTS RD, CRESWELL, OR 97426-9767
(971) 238-4668
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
016340
OR
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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