Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE MARIA CANALES BASURTO
Active Sole ProprietorSTEPHANIE MARIA CANALES BASURTO is a Marriage & Family Therapist healthcare provider located in PORTLAND, Oregon. NPI 1851838767 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · PORTLAND, OR
Registration Details
- NPI Number
- 1851838767
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2017 (9.5471454203762 yrs)
- Last Updated
- Jan 24, 2024
- Licenses
-
T2451 (OR)22-12-10524 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12636 SE STARK ST STE 125PORTLAND, OR, 972331058Browse OR providers · Browse ZIP 97233
- Phone
- 5032534600
- Fax
- 5032534609
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Marriage & Family Therapist Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MS. BEVERLEY DUKE-YOUNG | M.S. | 1972584548 |
| CARRIE CONTE | LMFT | 1306828439 |
| MS. MARIEL PASTOR | MA | 1316927643 |
| MS. PATRICIA B AYERS | LMFT | 1912965104 |
| DR. ALBERTA KOCH HATTEM | PHD | 1922038769 |
| MS. PAMELA S SCOTT | MFT | 1043234867 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.