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General NPI Number Information
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NPI Number | 1952271124
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Entity Type | Individual
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Provider Name | CHRISTINA GABRIELLE ROSCHE
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Gender | Female
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1220 SW MORRISON ST FL 9
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City | PORTLAND
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State | OR
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Zip | 97205-2235
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Country | US
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Telephone | 503-213-3745
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Fax |
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Provider Business Mailing Address
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Address Line | 15500 NW FERRY RD UNIT 5F
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City | PORTLAND
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State | OR
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Zip | 97231-1356
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Country | US
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Telephone | 360-593-3477
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 29360
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License Number State | OR
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