person
Diane K Rose, CADCIII,QMHP
Mental Health Counselor in Portland, Oregon
NPI 1104912872

Diane K Rose is a Mental Health Counselor based in Gladstone, OR and is specialized in Mental Health. Diane K Rose practices in Portland, OR and has the professional credentials of CADCIII,QMHP. The NPI Number for Diane K Rose is 1104912872 and holds a License No. (Oregon).

The current practice location address for Diane K Rose is 131 Ne 102Nd Ave, Portland, OR and can be reached out via phone at 503-253-6754 and via fax at 503-253-8020.

Location: 131 Ne 102Nd Ave, Portland, OR, 97027-1011
person
Provider Profile Details
NPI Number
1104912872
Provider Name
Diane K Rose
Credential
CADCIII,QMHP
Provider Entity Type
Individual
Gender
Female
Address
131 Ne 102Nd Ave, Portland, OR, 97027-1011
Phone Number
503-253-6754
Fax Number
503-253-8020
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
131 Ne 102Nd Ave
City
State
Zip
97220-4167
Phone Number
503-253-6754
Fax Number
503-253-8020
person
Provider Business Mailing Address Details
Address
131 Ne 102Nd Ave
City
State
Zip
97220-4167
Phone Number
503-253-6754
Fax Number
503-253-8020
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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