Individual provider · Type 1 NPI

Barbara Rose, MA, CADC III, MAC

Addiction (Substance Use Disorder) Counselor · Beaverton, OR

NPI number 1750701751 Active

Practice location

12555 SW 1st St
Beaverton, OR 97005-0546

Mailing address

15675 SW Beverly Beach Ct
Beaverton, OR 97007-5025

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X10-R-22 (OR)

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

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About NPI 1750701751

Barbara Rose, MA, CADC III, MAC's National Provider Identifier is 1750701751, issued on Apr 17, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beaverton, OR. The record was last updated on May 6, 2014.