Individual provider · Type 1 NPI
Tessa Rae Rose, LE
Specialist · Coos Bay, OR
NPI number
1275445272
Active
Practice location
164 Market Ave
Coos Bay, OR 97420-2335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | BAP-E-10159328 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1275445272
Tessa Rae Rose, LE's National Provider Identifier is 1275445272, issued on Sep 22, 2026. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Coos Bay, OR. The record was last updated on Sep 22, 2026.