Individual
ROSS BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
435 LANCASTER DR NE, SALEM, OR 97301-4729
(503) 585-6388
(503) 585-0669
Mailing address
435 LANCASTER DR NE, SALEM, OR 97301-4729
(503) 585-6388
(503) 585-0669
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
2531
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210855
—
OR
Enumeration date
09/01/2011
Last updated
09/01/2015
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