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Bonita Baxter
Addiction (Substance Use Disorder) Counselor in Gresham, Oregon
NPI 1033665898

Bonita Baxter is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Bonita Baxter practices in Gresham, OR. The NPI Number for Bonita Baxter is 1033665898 and holds a License No. (Oregon).

The current practice location address for Bonita Baxter is 400 Ne 7Th Street, Gresham, OR and can be reached out via phone at 503-661-5455.

Location: 400 Ne 7Th Street, Gresham, OR, 97229
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033665898
Provider Name
Bonita Baxter
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 Ne 7Th Street, Gresham, OR, 97229
Phone Number
503-661-5455
Fax Number
Provider Enumeration Date
08/31/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
400 Ne 7Th Street
City
Gresham
State
Oregon
Zip
97030
Phone Number
503-661-5455
Fax Number
person
Provider Business Mailing Address Details
Address
400 Ne 7Th Street
City
Gresham
State
Oregon
Zip
97030
Phone Number
503-661-5455
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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