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Individual

MAI KAYANUMA ROSENBERRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 249-5281
Mailing address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 249-5281

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC00048956
WA
1041C0700X
Clinical Social Worker
Primary
L3931
OR

Other

Enumeration date
02/12/2007
Last updated
02/18/2011
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