Individual
MR. JOHN C BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
1100 E MARINA WAY, SUITE 221, HOOD RIVER, OR 97031-2305
(541) 288-8096
(415) 500-8275
Mailing address
PO BOX 2022, HOOD RIVER, OR 97031-1929
(541) 288-8096
(415) 500-8275
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2631
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9968
SFGH INTERNAL USE ONLY
—
Enumeration date
03/22/2007
Last updated
02/12/2016
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