Individual provider · Type 1 NPI

Katie Buenrostro

Mental Health Counselor · Tigard, OR

NPI number 1477094308 Active

Practice location

8915 SW Center St
Tigard, OR 97223-6307

Mailing address

11475 SE 85th Ave Apt 306
Happy Valley, OR 97086-7689

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1477094308

Katie Buenrostro's National Provider Identifier is 1477094308, issued on Mar 10, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tigard, OR. The record was last updated on Mar 10, 2017.