Roach, Roberta
Roach, Roberta is an sole proprietor health care provider with primary practice located at 880 82Nd Dr , Gladstone OR 97027-1803. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Roach, Roberta can be contacted via phone (503) 659-5515.Contact Information
Primary practice address
880 82Nd Dr
Gladstone OR 97027-1803
Phone: (503) 659-5515
Fax: (503) 659-1994
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Oregon | |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Oregon |
Profile Details
NPI number | 1285771824 |
---|---|
LBN Legal business name | Roach, Roberta |
Credentials | M.A., C.A.D.C I |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 31st, 2007 |
Last updated | Jul 22nd, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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