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STEPHANIE ROSE
NPI 1104661479
Peer Specialist in Forest Grove, OR

Active since June 28, 2024
2802 16TH AVE, FOREST GROVE, OR 97116(503) 746-3164 Get Directions Write a Review

NPPES record last updated: June 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Rose NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE ROSE (NPI 1104661479) is an individual peer specialist in Forest Grove, Oregon and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1104661479
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSTEPHANIE ROSE
Location Address2802 16TH AVEForest Grove, OR 97116-3118
Mailing Address2802 16th AveForest Grove, OR 97116-3118 · (503) 746-3164
Phone(503) 746-3164
Sole ProprietorYes
Enumeration DateJune 28, 2024
NPPES CertifiedJune 28, 2024
✔ NPI 1104661479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2802 16TH AVE, Forest Grove, OR 97116
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Rose's NPI number?

The NPI number for Stephanie Rose is 1104661479. It was assigned to this individual provider in the NPPES registry on June 28, 2024.

Where is Stephanie Rose located?

Stephanie Rose practices at 2802 16th Ave, Forest Grove, OR 97116. The listed phone number is (503) 746-3164.

What is Stephanie Rose's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Rose was last updated on June 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.