Individual
ALBERT BAZURTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
600 NE 8TH ST FL 3, GRESHAM, OR 97030-7317
(503) 988-5558
Mailing address
2156 SE 92ND AVE, PORTLAND, OR 97216-2027
(928) 699-8987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4763
OR
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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