| Rosanna Gapen Lpc Llc | |
|
6825 Sw Sandburg St Tigard OR 97223-8192 | |
| (815) 914-1822 | |
| Not Available |
| Full Name | Rosanna Gapen Lpc Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6825 Sw Sandburg St, Tigard, Oregon |
| Authorized Official Name and Position | Rosanna Gapen (OWNER) |
| Authorized Official Contact | 8159141822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rosanna Gapen Lpc Llc 1333 Ne Orenco Station Pkwy Hillsboro OR 97124-5409 Ph: (815) 914-1822 | Rosanna Gapen Lpc Llc 6825 Sw Sandburg St Tigard OR 97223-8192 Ph: (815) 914-1822 |
| NPI Number | 1548731573 |
|---|---|
| Provider Enumeration Date | 12/17/2018 |
| Last Update Date | 12/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548731573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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