BUSTER ROSS

NEWBERG, OR
NPI1700144862
Professional NameBUSTER WERENKO-ROSS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  12-R-05)
Enumeration Date2012-04-26
Last Update Date2012-04-26
Business Address
-- BUSTER ROSS M.A., CADC II, LPC-I
1901 ESTHER ST
NEWBERG, OR 97132-9529
Phone number: 505-490-9481
Mailing Address
-- BUSTER ROSS M.A., CADC II, LPC-I
5932 SE MILWAUKIE AVE
PORTLAND, OR 97202-5258
Phone number: 505-490-9481