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1417963745
RICHARD JAY ROSENBERG
PORTLAND, OR
NPI
1417963745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: OR 500)
Enumeration Date
2006-07-31
Last Update Date
2011-07-11
Business Address
Dr. RICHARD JAY ROSENBERG Ph.D.
2161 NE BROADWAY ST
PORTLAND, OR 97232-1512
Phone number: 503-402-1802
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Mailing Address
Dr. RICHARD JAY ROSENBERG Ph.D.
3426 NE 19TH AVE
PORTLAND, OR 97212-2407
Phone number: 503-402-1802
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