| Bob Ross, Lcsw, Llc | |
|
12250 Sw 2nd St Beaverton OR 97005-2828 | |
| (971) 249-2319 | |
| Not Available |
| Full Name | Bob Ross, Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 12250 Sw 2nd St, Beaverton, Oregon |
| Authorized Official Name and Position | Robert C Ross (MEMBER/MANAGER) |
| Authorized Official Contact | 5034533968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bob Ross, Lcsw, Llc 13190 Sw Trigger Dr Beaverton OR 97008-7689 Ph: (503) 453-3968 | Bob Ross, Lcsw, Llc 12250 Sw 2nd St Beaverton OR 97005-2828 Ph: (971) 249-2319 |
| NPI Number | 1356857999 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 12/19/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356857999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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