Provider Demographics
NPI:1598487522
Name:ROSALES BARRIOS, PRISCILA A
Entity Type:Individual
Prefix:
First Name:PRISCILA
Middle Name:A
Last Name:ROSALES BARRIOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16098 NW OAKHILLS DR
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006-5253
Mailing Address - Country:US
Mailing Address - Phone:503-840-0808
Mailing Address - Fax:
Practice Address - Street 1:255 N ARNEY RD
Practice Address - Street 2:
Practice Address - City:WOODBURN
Practice Address - State:OR
Practice Address - Zip Code:97071-8460
Practice Address - Country:US
Practice Address - Phone:503-395-4224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-15
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker