Annette Urban Shore MA

NPI 1164544284 - Counselor - 101YM0800X

NPI Details
NPI 1164544284
Gender Female
Enumeration Date 04/06/2007
Last Updated 12/07/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
3434 SW KELLY AVE
SUITE 8
PORTLAND OR, 97239-4630, US
Phone (503) 222-1807
Fax (503) 220-5041
Business Location
3434 SW KELLY AVE
SUITE 8
PORTLAND OR, 97239-4630, US
Phone (503) 222-1807
Fax (503) 220-5041
Toxanomy
Taxonomy Code 101YM0800X
License State Oregon
License Number C1596
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According to our database, Annette Urban Shore MA NPI is 1164544284, taxonomy code is 101YM0800X and license number is C1596, license state is located at Oregon. Annette Urban Shore MA physically located at 3434 Sw Kelly Ave, Portland OR, 97239-4630. NPI Number Annette Urban Shore MA has the Individual type.

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1164544284 NPI number is provided on an as is basis without warranty of any kind. 1164544284 is maintained by the National Plan & Provider Enumeration System. The contents of Annette Urban Shore MA are for informational purposes only.