Maryanne Rose, LCSW
Counselor, Mental Health in Portland, OR. Individual provider (NPI-1).
NPI number1497930697
StatusActive
Last updated in NPPESJan 7, 2008
Details
- NPI
- 1497930697
- Entity type
- Individual (NPI-1)
- Name
- Maryanne Rose
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 7, 2008
- Last updated
- Jan 7, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | L2893 | OR | Yes |
Practice location
9900 Sw Wilshire St#130
Portland, OR 97225-5035
Phone 503-890-1180 · Fax 503-473-8644
Mailing address
9900 Sw Wilshire St#130
Portland, OR 97225-5035
Phone 503-890-1180 · Fax 503-473-8644
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