Individual
CALEB BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2154 NE BROADWAY ST, SUITE 110, PORTLAND, OR 97232-1561
(503) 288-4558
(503) 288-4558
Mailing address
2154 NE BROADWAY ST, SUITE 110, PORTLAND, OR 97232-1561
(503) 288-4558
(503) 288-4558
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2803
WA
103TC0700X
Clinical Psychologist
Primary
743
OR
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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