DOROTHY R DE LA ROSA CDAC II
NPI 1659863215
Counselor - Addiction (Substance Use Disorder) in Grand Ronde, OR
About Dorothy R De La Rosa Cdac Ii NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOROTHY R DE LA ROSA CDAC II (NPI 1659863215) is an individual addiction (substance use disorder) provider in Grand Ronde, Oregon, licensed in Oregon (21-03-20041) and active in the NPI registry since May 2018. She maintains a secondary practice location in Hillsboro and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dorothy R De La Rosa Cdac Ii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RONDE, OR 97347
GRAND RONDE, OR 97347
GRAND RONDE, OR 97347
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 Dorothy De La Rosa's NPI number?
The NPI number for Dorothy De La Rosa is 1659863215. It was assigned to this individual provider in the NPPES registry on May 30, 2018.
Where is Dorothy De La Rosa located?
Dorothy De La Rosa practices at 9605 Grand Ronde Rd, Grand Ronde, OR 97347. The listed phone number is (503) 879-2060.
What is Dorothy De La Rosa's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Dorothy De La Rosa enrolled in Medicare?
Yes. Dorothy De La Rosa is registered in the Medicare PECOS enrollment system.
What insurance does Dorothy De La Rosa accept?
Health plans from Moda Health Plan, Inc. list Dorothy De La Rosa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Dorothy De La Rosa was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dorothy R De La Rosa, CDAC II · NPI 1659863215
Addiction (Substance Use Disorder) provider in Grand Ronde, Oregon. Individual provider, active in the CMS NPPES registry since May 30, 2018.
## Identity
- **NPI:** 1659863215 (Entity type: Individual)
- **Enumerated:** May 30, 2018
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 21-03-20041 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 9605 GRAND RONDE RD, Grand Ronde, OR 97347-9712
- **Phone:** (503) 879-2060 · **Fax:** (503) 879-2071
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 16, 2021
- **Other identifiers:** Medicaid 500764712 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1659863215) · Data from the CMS NPPES public registry.