Individual
ASHLIE RUTHANNA BUSTILLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6600 SW 105TH AVE STE 120, BEAVERTON, OR 97008-8800
(971) 245-1362
Mailing address
6600 SW 105TH AVE STE 120, BEAVERTON, OR 97008-8800
(971) 245-1362
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0018832
CO
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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