Virginia Rae Rosvold | Beaverton, OR • PECOS Search

Virginia Rae Rosvold

Social Worker

Behavioral Health & Social Service Providers

16110 SW Regatta Ln, Beaverton, OR 97006-8942

PECOS Enrollment

Based on the most recent information from CMS, provider Virginia Rae Rosvold does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1619023512
Provider Type
Individual
Full Name
Rosvold, Virginia Rae
Title
Ms.
Credential
M.S.W.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/25/2007
Last Updated
7/8/2007

Contact Information

Practice Location

16110 SW Regatta Ln, Beaverton, OR 97006-8942

(503) 617-9489

Mailing Location

3448 NW 123rd Pl, Portland, OR 97229-3799

(503) 617-9489

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 2101 Oregon