Individual provider · Type 1 NPI

Eric Rose, MA

Mental Health Counselor · Portland, OR

NPI number 1922428564 Active

Practice location

905 SE 14th Ave
Portland, OR 97214-2569

Call (503) 622-8964 Map

Fax (503) 715-5469

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1922428564

Eric Rose, MA's National Provider Identifier is 1922428564, issued on Apr 22, 2014. 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 6, 2023.