Individual provider · Type 1 NPI

Diane K. Rose, CADC III, QMHP

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1104912872 Active

Practice location

131 NE 102nd Ave
Portland, OR 97220-4167

Call (503) 253-6754 Map

Fax (503) 253-8020

Mailing address

6440 Chessington Ln
Gladstone, OR 97027-1011

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed
Mental Health Counselor 101YM0800XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104912872

Diane K. Rose, CADC III, QMHP's National Provider Identifier is 1104912872, issued on Oct 4, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Aug 21, 2007.