Individual provider · Type 1 NPI

Stephanie Bushbaum

Mental Health Counselor · Wilsonville, OR

NPI number 1063896322 Active

Practice location

29120 SW San Remo Ct
Wilsonville, OR 97070-7373

Call (503) 682-1840 Map

Fax (503) 682-1873

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063896322

Stephanie Bushbaum's National Provider Identifier is 1063896322, issued on Jul 16, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilsonville, OR. The record was last updated on Apr 20, 2016.