# BURSTEIN-ROSE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972917458
- **Authorized official:** MR. GUY DAVID BURSTEIN LCSW (PSYCHOTHERAPIST)
- **Authorized official phone:** (503) 701-1050

## Contact information

- **Practice address:** 833 SW 11TH AVE STE 710, PORTLAND, OR 97205-2121
- **Practice address phone:** (503) 701-1050
- **Mailing address:** 833 SW 11TH AVE STE 710, PORTLAND, OR 97205-2121
- **Mailing address phone:** (503) 701-1050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 2931 | OR | Yes |

## Other

- **Enumeration date:** 06/12/2014
- **Last updated:** 02/09/2024