STEPHANIE ROSE
NPI 1104661479
Peer Specialist in Forest Grove, OR
- Individual
- Female
- Peer Specialist
About STEPHANIE ROSE
This page provides the complete NPI Profile along with additional information for Stephanie Rose, a provider established in Forest Grove, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1104661479 assigned on June 2024. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1104661479 Verify this NPI
- Provider Name
- STEPHANIE ROSE
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2802 16TH AVE FOREST GROVE, OR 97116
- Location Phone
- (503) 746-3164
- Mailing Address
- 2802 16TH AVE FOREST GROVE, OR 97116
- Mailing Phone
- (503) 746-3164
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-28-2024
- Last Update Date
- 06-28-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104661479, enumerated as an "individual" on June 28, 2024.
The provider is located at 2802 16TH AVE FOREST GROVE, OR 97116 and the phone number is (503) 746-3164.
Peer Specialist with taxonomy code 175T00000X.
