SHAWNA NICOLE ROSE

PORTLAND, OR
NPI1164824090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2014-09-23
Last Update Date2023-02-28
Business Address
SHAWNA NICOLE ROSE LCSW
1832 NE BROADWAY ST
PORTLAND, OR 97232-1992
Phone number: 503-754-4502
Mailing Address
SHAWNA NICOLE ROSE LCSW
715 SW RAMSEY AVE
GRANTS PASS, OR 97527-5500
Phone number: