Individual
MS. MAXINE DEE BURTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4550 KRUSE WAY, STE 225, LAKE OSWEGO, OR 97035
(503) 635-1446
(503) 635-0583
Mailing address
4550 KRUSE WAY, STE 225, LAKE OSWEGO, OR 97035
(503) 635-1446
(503) 635-0583
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1755
OR
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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