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

Maximilian Ruiz Dezarate

Individual provider Mental Health Counselor · NPI 1346035854

Maximilian Ruiz Dezarate is a Mental Health Counselor in Canby, Oregon. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

22018 S Central Point Rd
Canby, OR 97013-8705
Phone: (503) 221-4531
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1346035854
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025

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