Individual
ADRIENNE BUHACOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
6700 SW 105TH AVE STE 215, BEAVERTON, OR 97008-8824
(971) 233-6052
(971) 277-7291
Mailing address
6700 SW 105TH AVE STE 215, BEAVERTON, OR 97008-8824
(503) 461-3910
(971) 277-7291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
84173
CA
101YM0800X
Mental Health Counselor
L7892
OR
1041C0700X
Clinical Social Worker
84173
CA
1041C0700X
Clinical Social Worker
Primary
L7892
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500744016
—
OR
Enumeration date
02/24/2014
Last updated
02/21/2024
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