Individual provider · Type 1 NPI

Trystan Rose

Mental Health Counselor · Portland, OR

NPI number 1558801019 Active

Practice location

5100 SW Macadam Ave, # 400
Portland, OR 97239-6102

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1558801019

Trystan Rose's National Provider Identifier is 1558801019, issued on Mar 3, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Mar 3, 2017.