MARISSA JANE BERTUCCI PC-A
NPI 1326897661
Counselor - Mental Health in Portland, OR

Q: What is Marissa Bertucci's NPI number?

The NPI number for Marissa Bertucci is 1326897661. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Q: What is Marissa Bertucci's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Bertucci was last updated on May 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 17, 2024

15300 NE GLISAN ST, PORTLAND, OR 97230(925) 726-8472 Get Directions Write a Review

NPPES record last updated: May 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Marissa Jane Bertucci Pc-a NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA JANE BERTUCCI PC-A (NPI 1326897661) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R9003) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1326897661

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARISSA JANE BERTUCCICredential: PC-A

Location Address15300 NE GLISAN STPortland, OR 97230-4839

Mailing Address6530 Se 74th AvePortland, OR 97206-7234 · (925) 726-8472

Phone(925) 726-8472

Sole ProprietorYes

Enumeration DateMay 17, 2024

Last NPPES UpdateMay 19, 2024

NPPES CertifiedMay 19, 2024

✔ NPI 1326897661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OR · R9003

15300 NE GLISAN ST, Portland, OR 97230

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Bertucci's NPI number?

The NPI number for Marissa Bertucci is 1326897661. It was assigned to this individual provider in the NPPES registry on May 17, 2024.

Where is Marissa Bertucci located?

Marissa Bertucci practices at 15300 NE Glisan St, Portland, OR 97230. The listed phone number is (925) 726-8472.

What is Marissa Bertucci's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Marissa Bertucci was last updated on May 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.