Individual
MS. TEAL HAZEL BLUESTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2250 NW FLANDERS ST STE 201, PORTLAND, OR 97210-5410
(503) 427-1952
Mailing address
2250 NW FLANDERS ST STE 201, PORTLAND, OR 97210-5410
(503) 427-1952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
WA
104100000X
Social Worker
Primary
—
OR
104100000X
Social Worker
—
—
Other
Enumeration date
06/03/2022
Last updated
09/04/2024
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