Individual provider · Type 1 NPI

Maximilian Ruiz Dezarate

Mental Health Counselor · Canby, OR

NPI number 1346035854 Active

Practice location

22018 S Central Point Rd
Canby, OR 97013-8705

Mailing address

4017 SE Yamhill St
Portland, OR 97214-4444

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1346035854

Maximilian Ruiz Dezarate's National Provider Identifier is 1346035854, issued on Apr 14, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Canby, OR. The record was last updated on Apr 14, 2025.