Individual provider · Type 1 NPI

Diana M. Debruin

Professional Counselor · Portland, OR

NPI number 1386066397 Active

Practice location

7412 SW Beaverton Hillsdale Hwy Ste 204
Portland, OR 97225-2168

Call (503) 719-2799 Map

Fax (888) 972-3736

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X501728 (OR)
Professional Counselor Primary 101YP2500XC0983 (OR)

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About NPI 1386066397

Diana M. Debruin's National Provider Identifier is 1386066397, issued on Jan 9, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Portland, OR. The record was last updated on Jan 9, 2014.