Most Relevant Information
Provider Data
| NPI Number: | 1003538554 |
| Provider Name: | ARYA ROERIG CADC 1 |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 1003538554 |
Most Important Dates
| Enumeration Date: | 09/12/2022 |
| Last Updated: | 06/30/2024 |
Provider Practice Location
12540 SW MAIN ST STE 202
TIGARD
OR
972236198
Practice Location Phone/Fax
| Phone: | 5039069995 |
| Fax: |
Provider Mailing Location
7015 W 32ND AVE
WHEAT RIDGE
CO
800336260
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |