Individual provider · Type 1 NPI
Braidy Rose
Addiction (Substance Use Disorder) Counselor · North Bend, OR
NPI number
1124997630
Active
Practice location
400 Virginia Ave Ste 201
North Bend, OR 97459-3444
Mailing address
PO Box 1121
Roseburg, OR 97470-0254
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Kathryn L. Buckwald, B.S., CADC II, CGACIAddiction (Substance Use Disorder) Counselor North Bend, OR NPI 1184083750
- Zachary MartinAddiction (Substance Use Disorder) Counselor North Bend, OR NPI 1194228197
About NPI 1124997630
Braidy Rose's National Provider Identifier is 1124997630, issued on Nov 3, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Bend, OR. The record was last updated on Nov 3, 2025.