Provider Demographics
NPI:1669845897
Name:COLORAFI, ROSE MARY (LPC, LMHC, NCC)
Entity type:Individual
Prefix:
First Name:ROSE MARY
Middle Name:
Last Name:COLORAFI
Suffix:
Gender:F
Credentials:LPC, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5517 SE 89TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-4734
Mailing Address - Country:US
Mailing Address - Phone:503-427-9543
Mailing Address - Fax:
Practice Address - Street 1:4023 NE TILLAMOOK ST # 2
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97212-5341
Practice Address - Country:US
Practice Address - Phone:503-427-9543
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-10
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health