Basic Information
| Provider Information | |||||||||
| NPI: | 1639448814 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAMSON | ||||||||
| FirstName: | ROXANNE | ||||||||
| MiddleName: | ALANA LEINAALA | ||||||||
| NamePrefix: | MISS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1500 SW PLEASANT VIEW DR | ||||||||
| Address2: | APT 330 | ||||||||
| City: | GRESHAM | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970807763 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8083728465 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10313 SW 69TH AVE | ||||||||
| Address2: | |||||||||
| City: | TIGARD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972239103 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5037263696 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/18/2011 | ||||||||
| LastUpdateDate: | 12/18/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.