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1124778055
ROSE NOVAK
PORTLAND, OR
NPI
1124778055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2022-03-24
Last Update Date
2023-09-18
Business Address
ROSE NOVAK
825 NE 20TH AVE STE 250
PORTLAND, OR 97232-2282
Phone number: 503-917-5737
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Mailing Address
ROSE NOVAK
3 MONROE PKWY STE P PMB 217
LAKE OSWEGO, OR 97035-8869
Phone number: 503-420-3005
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