ROSE M. WATNE LCSW NPI 1164480034

NPI Information

NPI: 1164480034
Provider Name: ROSE M. WATNE, LCSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1201--C NE 7TH STREET
GRANTS PASS, OR
ZIP 97526
Phone: (541) 955-9698
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Rose M. Watne, LCSW is a mental health counselor in Grants Pass, OR. Rose M. Watne, LCSW NPI is 1164480034. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1201--C NE 7TH STREET
GRANTS PASS, OR
ZIP 97526
Phone: (541) 955-9698
Fax: (541) 955-9698

The enumeration date for this NPI number is 5/2/2006 and was last updated on 9/19/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	3252	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	R117331	MEDICARE ID-TYPE UNSPECIFIED	OREGON
2	275077	MEDICAID	OREGON
3	04623	MEDICARE UPIN	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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