Most Relevant Information
Provider Data
| NPI Number: | 1003663147 |
| Provider Name: | KRISTOPHER ALAN ROCHELLE CSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | A14782 |
Most Important Dates
| Enumeration Date: | 05/06/2024 |
| Last Updated: | 05/19/2024 |
Provider Practice Location
1500 NE IRVING ST STE 210
PORTLAND
OR
972322243
Practice Location Phone/Fax
| Phone: | 7025219521 |
| Fax: |
Provider Mailing Location
4924 NE ALBERTA CT
PORTLAND
OR
972182032
Provider Mailing Phone/Fax
| Phone: | 7025219521 |
| Fax: |