Individual provider · Type 1 NPI

Grae June Rose

Mental Health Counselor · Portland, OR

NPI number 1659232841 Active

Practice location

11740 SW 68th Pkwy Ste 200
Portland, OR 97223-9058

Mailing address

5441 S Macadam Ave Ste R
Portland, OR 97239-3822

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X12334 (OR)

Mental Health Counselor: Definition to come...

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About NPI 1659232841

Grae June Rose's National Provider Identifier is 1659232841, issued on Nov 19, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 19, 2025.