Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Jane Bertucci, PC-A

Individual provider Mental Health Counselor · NPI 1326897661

Marissa Jane Bertucci, PC-A is a Mental Health Counselor in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2024

Practice location Address checks out

15300 NE Glisan St
Portland, OR 97230-4839
Phone: (925) 726-8472
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence R9003 (OR)

Record details

NPI number1326897661
Entity typeIndividual (Type 1)
GenderFemale
Credentials PC-A
Sole proprietorYes
NPI enumeratedMay 17, 2024
Last updated in NPPESMay 19, 2024
Certification dateMay 19, 2024

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