Individual provider · Type 1 NPI

Dorothy R. De la Rosa, CDAC II

Addiction (Substance Use Disorder) Counselor · Grand Ronde, OR

NPI number 1659863215 Active

Practice location

9605 Grand Ronde Rd
Grand Ronde, OR 97347-9712

Fax (503) 879-2071

Other practice locations

  • 720 SE Washington St, Hillsboro, OR 97123-4230 · (503) 648-0753

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21-03-20041 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1659863215

Dorothy R. De la Rosa, CDAC II's National Provider Identifier is 1659863215, issued on May 30, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grand Ronde, OR. The record was last updated on Aug 16, 2021.