Bob Ross, Lcsw, LLC

NPI #1356857999 in Beaverton, Oregon

Provider Information

NPI Number: 1356857999
Entity Type: Organization
Organization Name: Bob Ross, Lcsw, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 19, 2017
Last Updated: Dec 19, 2017

Practice Location

Address: 12250 SW 2ND ST
City: Beaverton
State: Oregon
ZIP Code: 97005-2828
Phone: (971) 249-2319

Authorized Official

Name: ROBERT C ROSS, LCSW
Title: MEMBER/MANAGER
Phone: (503) 453-3968

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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