Rose, Alice Penniman
Rose, Alice Penniman is an individual health care provider with primary practice located at 5125 Sw Macadam Ave Ste 145, Portland OR 97239. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rose, Alice Penniman can be contacted via phone (503) 231-7854.Contact Information
Primary practice address
5125 Sw Macadam Ave Ste 145
Portland OR 97239
Phone: (503) 231-7854
Fax: (503) 231-8153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW2352 | Oregon |
Profile Details
| NPI number | 1629030713 |
|---|---|
| LBN Legal business name | Rose, Alice Penniman |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jul 8th, 2007 - 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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