Individual
COURTNEY BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4531 SE BELMONT ST STE 314, PORTLAND, OR 97215-1693
(503) 208-4779
Mailing address
4531 SE BELMONT ST STE 314, PORTLAND, OR 97215-1693
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7661
OR
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
842904261
—
OR
Enumeration date
12/12/2011
Last updated
10/08/2021
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