Individual
MELISSA BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1306 NW HOYT ST STE 407, PORTLAND, OR 97209-2787
(971) 407-3930
Mailing address
1306 NW HOYT ST STE 407, PORTLAND, OR 97209-2787
(971) 407-3930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A14517
OR
1041C0700X
Clinical Social Worker
Primary
L17665
OR
Other
Enumeration date
09/03/2020
Last updated
02/16/2026
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