person
Thomas Bruketta
Mental Health Counselor in Portland, Oregon
NPI 1306288568

Thomas Bruketta is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Thomas Bruketta practices in Portland, OR. The NPI Number for Thomas Bruketta is 1306288568 and holds a License No. (Oregon).

The current practice location address for Thomas Bruketta is 33 Nw Broadway, Portland, OR and can be reached out via phone at 503-228-7134.

Location: 33 Nw Broadway, Portland, OR, 97209-3609
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Provider Profile Details
NPI Number
1306288568
Provider Name
Thomas Bruketta
Credential
Provider Entity Type
Individual
Gender
Male
Address
33 Nw Broadway, Portland, OR, 97209-3609
Phone Number
503-228-7134
Fax Number
Provider Enumeration Date
07/29/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
33 Nw Broadway
City
State
Zip
97209-3580
Phone Number
503-228-7134
Fax Number
person
Provider Business Mailing Address Details
Address
33 Nw Broadway
City
State
Zip
97209-3580
Phone Number
503-228-7134
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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