Stephanie Rose
NPI #1104661479 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1104661479
- Entity Type
- Individual
- Name
- Stephanie Rose
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jun 28, 2024
- Last Updated
- Jun 28, 2024
Practice Location
- Address
- 2802 16TH AVE
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-3118
- Phone
- (503) 746-3164
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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