Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Trystan Rose

Individual provider Mental Health Counselor · NPI 1558801019

Trystan Rose is a Clinical Social Worker in Portland, Oregon. Qualified in 2021, 5 years ago. Registered with an NPI since 2017.

Years since qualifying
5
In the registry since
2017
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Practice location Address checks out

5100 SW Macadam Ave # 400
Portland, OR 97239-6102
Phone: (503) 244-5211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1558801019
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 3, 2017
Last updated in NPPESMarch 3, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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