Provider Demographics
NPI:1275683328
Name:TROSEN, PAULA M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:M
Last Name:TROSEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6950 SW HAMPTON ST STE 207
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-8234
Mailing Address - Country:US
Mailing Address - Phone:503-620-2266
Mailing Address - Fax:503-620-2266
Practice Address - Street 1:6950 SW HAMPTON ST STE 207
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8234
Practice Address - Country:US
Practice Address - Phone:503-620-2266
Practice Address - Fax:503-620-2266
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC0854101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional