COURDAY ROSE CADC-R NPI 1346107752

NPI Information

  • NPI: 1346107752
  • Provider Name: COURDAY ROSE, CADC-R
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 11104 SE STARK ST
    PORTLAND, OR
    ZIP 97216
  • Phone: (971) 703-4623

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NPI Details

Courday Rose, CADC-R is an addiction (substance use disorder) counselor in Portland, OR. Courday Rose, CADC-R NPI is 1346107752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11104 SE STARK ST
PORTLAND, OR
ZIP 97216-353
Phone: (971) 703-4623
Fax: (971) 266-5668

The enumeration date for this NPI number is 1/7/2026 and was last updated on 1/7/2026.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)T-24-4640OREGONYes

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: 11/21/2025

NPI Synchronization or Removal

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