Individual
RICK BAUMGARTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LPC CADCII
Contact information
Practice address
4855 SW FRANKLIN AVE APT 135, BEAVERTON, OR 97005-2885
(503) 577-8072
Mailing address
4855 SW FRANKLIN AVE APT 135, BEAVERTON, OR 97005-2885
(503) 577-8072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11-03-51
OR
101YM0800X
Mental Health Counselor
C7483
OR
101YP2500X
Professional Counselor
Primary
C7483
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-03-51
CADCII
OR
01
—
C7483
OREGON BOARD OF PROFESSIONAL COUNSELORS
OR
Enumeration date
03/01/2016
Last updated
03/25/2025
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