Individual provider · Type 1 NPI

Rose Novak

Mental Health Counselor · Portland, OR

NPI number 1124778055 Active

Practice location

825 NE 20th Ave Ste 250
Portland, OR 97232-2282

Call (503) 917-5737 Map

Mailing address

3 Monroe Pkwy Ste P, Pmb 217
Lake Oswego, OR 97035-8869

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1124778055

Rose Novak's National Provider Identifier is 1124778055, issued on Mar 24, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Sep 18, 2023.