Provider Demographics
NPI:1992861108
Name:BARBUR, PETER (LPC)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:
Last Name:BARBUR
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1312 SW 16TH AVE # 103
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97201-2516
Mailing Address - Country:US
Mailing Address - Phone:503-295-7974
Mailing Address - Fax:
Practice Address - Street 1:1312 SW 16TH AVE
Practice Address - Street 2:#103
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97201-2516
Practice Address - Country:US
Practice Address - Phone:503-295-7974
Practice Address - Fax:503-295-3727
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC0630101YA0400X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional