Individual
JOSEPH VAN BUREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
390 SE CHURCH ST, SUBLIMITY, OR 97385-9714
(800) 440-2669
Mailing address
2512 NW MARSHALL ST APT 14, PORTLAND, OR 97210-2885
(213) 422-2560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15327
OR
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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