Individual provider · Type 1 NPI
Ingrid Rose, PH.D LPC
Professional Counselor · Portland, OR
NPI number
1740359843
Active
Practice location
922 NW 11th Ave, Apt 403
Portland, OR 97209-2776
Fax (503) 248-1608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Professional Counselor Primary | 101YP2500X | C3057 (OR) |
Professional Counselor: Definition to come...
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About NPI 1740359843
Ingrid Rose, PH.D LPC's National Provider Identifier is 1740359843, issued on Nov 6, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Oct 18, 2026.