VERNON ROSE

EUGENE, OR
NPI1356872477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: OR  07-09-64)
Enumeration Date2017-03-21
Last Update Date2020-10-29
Business Address
MR. VERNON ROSE CADC II
4211 W 11TH AVE
EUGENE, OR 97402-5435
Phone number: 541-485-1577
Mailing Address
MR. VERNON ROSE CADC II
4211 W 11TH AVE
EUGENE, OR 97402-5435
Phone number: 541-485-1577