Provider Demographics
NPI:1043405715
Name:RASSIER, ADRIENNE STROEMPLE
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:STROEMPLE
Last Name:RASSIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ADDIE
Other - Middle Name:DAWN
Other - Last Name:STROEMPLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 83479
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97283-0479
Mailing Address - Country:US
Mailing Address - Phone:503-333-3727
Mailing Address - Fax:503-333-3727
Practice Address - Street 1:3175 NE ALOCLEK DR
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-7135
Practice Address - Country:US
Practice Address - Phone:503-333-3727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-06
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
ORT1580106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program