| Rogue Healing Collective | |
|
730 Nw Kinney St Grants Pass OR 97526-1551 | |
| (541) 787-1028 | |
| Not Available |
| Full Name | Rogue Healing Collective |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 730 Nw Kinney St, Grants Pass, Oregon |
| Authorized Official Name and Position | Mariarose M Shanahe (THERAPIST) |
| Authorized Official Contact | 5417871028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogue Healing Collective 730 Nw Kinney St Grants Pass OR 97526-1551 Ph: (541) 787-1028 | Rogue Healing Collective 730 Nw Kinney St Grants Pass OR 97526-1551 Ph: (541) 787-1028 |
| NPI Number | 1255012431 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 08/06/2023 |
| Certification Date | 08/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255012431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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