Individual
DEIDRE L BURTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1130 NW 22ND AVE, SUITE 320, PORTLAND, OR 97210-2900
(503) 295-2546
(503) 790-1248
Mailing address
1130 NW 22ND AVE STE 320, PORTLAND, OR 97210-2970
(503) 295-2546
(503) 790-1248
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD17996
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
056429
—
OR
Enumeration date
08/15/2005
Last updated
10/30/2025
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