Individual provider · Type 1 NPI

Jeremy Nicholas Burlingame

Counselor · Portland, OR

NPI number 1437356383 Active

Practice location

4310 NE Killingsworth St
Portland, OR 97218-1404

Call (503) 535-1150 Map

Fax (503) 528-0800

Mailing address

4820 SW Barbur Blvd Apt 15
Portland, OR 97239-2853

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1437356383

Jeremy Nicholas Burlingame's National Provider Identifier is 1437356383, issued on Jul 2, 2007. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.