| Dorothy R De La Rosa, CDAC II | |
|
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | |
| (503) 879-2060 | |
| (503) 879-2071 |
| Full Name | Dorothy R De La Rosa |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659863215 | NPI | - | NPPES |
| 500764712 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 21-03-20041 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dorothy R De La Rosa, CDAC II 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2060 | Dorothy R De La Rosa, CDAC II 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2060 |
Heidi Kathleen Hicinbothom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2026 | |
Ms. Karan Elaine Scharf, CDCIII Counselor Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089 | |
Nicole Marie Estrada, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9615 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2026 Fax: 503-879-4606 | |
Mrs. Laura Ann Burton, CADCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089 | |
Ms. Kelly Jeanne Nelson, MSW, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089 | |
Jeanette Marie Kaschmitter, BA / MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089 | |
Howard Mekemson, CADCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2236 Fax: 503-879-5089 |