Dorothy R De La Rosa, CDAC II in Grand Ronde, OR - Medicare Undefined Non-physician Type (specify) Provider

Dorothy R De La Rosa, CDAC II is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Grand Ronde, Oregon. She graduated from healthcare school in 2018 and has 7 years of diverse experience with area of expertise as Undefined Non-physician Type (specify). Her current practice location is 9605 Grand Ronde Rd, Grand Ronde, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 879-2060.

Dorothy R De La Rosa is licensed to practice in Oregon (license number 21-03-20041) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1659863215.

Contact Information

	Dorothy R De La Rosa, CDAC II
	9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712
	(503) 879-2060
	(503) 879-2071

Map and Direction

Healthcare Provider's Profile

Full Name	Dorothy R De La Rosa
Gender	Female
Speciality	Undefined Non-physician Type (specify)
Experience	7 Years
Location	9605 Grand Ronde Rd, Grand Ronde, Oregon
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dorothy R De La Rosa graduated from medical school in 2018

NPI Data:

NPI Number: 1659863215
Provider Enumeration Date: 05/30/2018
Last Update Date: 08/16/2021

Medicare PECOS Information:

PECOS PAC ID: 7214448810
Enrollment ID: I20250619000247

Medical Identifiers

Medical identifiers for Dorothy R De La Rosa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659863215	NPI	-	NPPES
500764712	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	21-03-20041 (Oregon)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dorothy R De La Rosa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dorothy R De La Rosa, CDAC II 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2060	Dorothy R De La Rosa, CDAC II 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2060

Reviews and Comments

Counselor in Grand Ronde, OR

Heidi Kathleen Hicinbothom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2026
Ms. Karan Elaine Scharf, CDCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089
Nicole Marie Estrada, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9615 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2026 Fax: 503-879-4606
Mrs. Laura Ann Burton, CADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089
Amber Foster, CRM Counselor Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2060
Ms. Kelly Jeanne Nelson, MSW, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089
Jeanette Marie Kaschmitter, BA / MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089

Dorothy R De La Rosa, CDAC II - Medicare Counselor in Grand Ronde, OR