MS. FAWN IBECCA BURGESS RN NPI 1497020788

NPI Information

MS. Fawn Ibecca Burgess, RN is a counselor in Corvallis, OR. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MS. Fawn Ibecca Burgess, RN NPI is 1497020788. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4455 NE HIGHWAY 20
CORVALLIS, OR
ZIP 97330-695
Phone: (541) 750-1135

The enumeration date for this NPI number is 3/20/2012 and was last updated on 3/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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