Individual
NATALIA K BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-3216
(503) 231-7480
Mailing address
4101 NE DIVISION ST, GRESHAM, OR 97030-4617
(503) 666-6575
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
02/28/2019
Last updated
08/08/2023
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