| Desert Rose Counseling, Llc | |
|
1942 Nw Kearney St Ste 11 Portland OR 97209-1463 | |
| (503) 389-0030 | |
| Not Available |
| Full Name | Desert Rose Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1942 Nw Kearney St Ste 11, Portland, Oregon |
| Authorized Official Name and Position | Abigail Bullock (PROFESSIONAL COUNSELOR ASSOCIATE) |
| Authorized Official Contact | 5033194782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Rose Counseling, Llc 1942 Nw Kearney St Portland OR 97209-1426 Ph: () - | Desert Rose Counseling, Llc 1942 Nw Kearney St Ste 11 Portland OR 97209-1463 Ph: (503) 389-0030 |
| NPI Number | 1336024496 |
|---|---|
| Provider Enumeration Date | 08/07/2025 |
| Last Update Date | 08/07/2025 |
| Certification Date | 08/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336024496 | NPI | - | NPPES |
| 500792702 | Medicaid | OR | |
| 1821670670 | Other | OR | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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