Individual
KRISTI E ROTHENBUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CADC I
Contact information
Practice address
10373 NE HANCOCK ST STE 200, PORTLAND, OR 97220-3873
(503) 253-6754
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
08-12-82U3
OR
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5494
OR
106H00000X
Marriage & Family Therapist
T1691
OR
Other
Enumeration date
02/27/2007
Last updated
10/24/2024
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