Individual provider · Type 1 NPI

Thomas William Ross, LCSW

Addiction (Substance Use Disorder) Counselor · Clackamas, OR

NPI number 1114039765 Active

Practice location

10163 SE Sunnyside Rd, Ste 490
Clackamas, OR 97015-5743

Fax (503) 513-4424

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X001207 (OR)

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

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About NPI 1114039765

Thomas William Ross, LCSW's National Provider Identifier is 1114039765, issued on Aug 31, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clackamas, OR. The record was last updated on Jul 8, 2007.