Individual
MICHELLE LYN BUFFIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 276-6500
Mailing address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-2880
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3719
OR
Other
Enumeration date
06/19/2022
Last updated
12/06/2024
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