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Michael Crose
Addiction (Substance Use Disorder) Counselor in Tigard, Oregon
NPI 1689363053

Michael Crose is an Addiction (Substance Use Disorder) Counselor based in Tigard, OR and is specialized in Addiction (Substance Use Disorder). Michael Crose practices in Tigard, OR. The NPI Number for Michael Crose is 1689363053 and holds a License No. (Oregon).

The current practice location address for Michael Crose is 12540 Sw Main St Ste 202, Tigard, OR and can be reached out via phone at 503-906-9995.

Location: 12540 Sw Main St Ste 202, Tigard, OR, 97223-6198
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689363053
Provider Name
Michael Crose
Credential
Provider Entity Type
Individual
Gender
Male
Address
12540 Sw Main St Ste 202, Tigard, OR, 97223-6198
Phone Number
503-906-9995
Fax Number
Provider Enumeration Date
05/02/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12540 Sw Main St Ste 202
City
Tigard
State
Oregon
Zip
97223-6198
Phone Number
503-906-9995
Fax Number
person
Provider Business Mailing Address Details
Address
12540 Sw Main St Ste 202
City
Tigard
State
Oregon
Zip
97223-6198
Phone Number
503-906-9995
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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