RANDALL JOSEPH BURNETT

GRESHAM, OR
NPI1124712377
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-06-08
Last Update Date2023-06-08
Business Address
RANDALL JOSEPH BURNETT
831 NW COUNCIL DR STE 300
GRESHAM, OR 97030-3725
Phone number: 460-050-3258
Mailing Address
RANDALL JOSEPH BURNETT
11035 NE SANDY BLVD
PORTLAND, OR 97220-2553
Phone number: 503-258-4200
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