| NPI | 1972917458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY DAVID BURSTEIN Psychotherapist 503-701-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 2931) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-02-09 |