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

Stephanie Maria Canales Basurto

Individual provider Marriage & Family Therapist · NPI 1851838767

Stephanie Maria Canales Basurto is a Marriage and Family Therapist in Portland, Oregon. Qualified in 2019, 7 years ago. Practices with Western Psychological and Counseling Services LLC, a 332-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
7
Licensed in
OR
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

12636 SE Stark St Ste 125
Portland, OR 97233-1058
Phone: (503) 253-4600
Fax: (503) 253-4609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence T2451 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 22-12-10524 (OR)

Record details

NPI number1851838767
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 30, 2017
Last updated in NPPESJanuary 24, 2024
Certification dateJanuary 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Western Psychological And Counseling Services Llc — 332 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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