Rose, Alice Penniman

Rose, Alice Penniman is an individual health care provider with primary practice located at 5125 Sw Macadam Ave Ste 145, Portland OR 97239. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Rose, Alice Penniman can be contacted via phone (503) 231-7854.

Contact Information

Primary practice address
5125 Sw Macadam Ave Ste 145 Portland OR 97239
Phone: (503) 231-7854
Fax: (503) 231-8153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW2352 Oregon

Profile Details

NPI number 1629030713
LBN Legal business name Rose, Alice Penniman
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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