IndividualActive
Albert Bazurto, LPC
NPI 1487409819 · Mental Health Counselor · Gresham, OR
Provider details
- NPI number
- 1487409819
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Male
- Sole proprietor
- Yes
- License
- C4763 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
600 Ne 8th St Fl 3
Gresham, OR 97030-7317
Phone: (503) 988-5558
Approximate (ZIP-level) locationGet directions
Mailing address
2156 Se 92nd Ave
Portland, OR 97216-2027
Registry dates
- Enumerated
- 2024-04-19
- Last updated
- 2024-04-19
- Certified
- 2024-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.