Bonita Baxter

NPI #1033665898 in Gresham, Oregon

Provider Information

NPI Number
1033665898
Entity Type
Individual
Name
Bonita Baxter
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Aug 31, 2016
Last Updated
Aug 31, 2016

Practice Location

Address
400 NE 7TH STREET
State
Oregon
ZIP Code
97030
Phone
(503) 661-5455

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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