Provider Demographics
NPI:1972793040
Name:BUFFORD, KATHLEEN PARSON (LMFT)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:PARSON
Last Name:BUFFORD
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1609 WILLAMETTE FALLS DR
Mailing Address - Street 2:STE 2
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-4544
Mailing Address - Country:US
Mailing Address - Phone:503-657-6760
Mailing Address - Fax:
Practice Address - Street 1:1609 WILLAMETTE FALLS DR
Practice Address - Street 2:STE 2
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-4544
Practice Address - Country:US
Practice Address - Phone:503-657-6760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORTO452106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist