Individual
DR. ALISON BORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., J.D.
Contact information
Practice address
998 LIBRARY CT, OREGON CITY, OR 97045-4041
(503) 655-8401
Mailing address
2051 KAEN RD, 367, OREGON CITY, OR 97045-4035
(503) 650-3110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
2664
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11634
MEDI-CAL EPSDT
CA
01
—
7589
MEDI-CAL EPSDT
CA
Enumeration date
09/18/2008
Last updated
04/11/2017
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