Melissa Shockman COUNSELING INTERN

NPI 1053708776 - Counselor - 101YM0800X

NPI Details
NPI 1053708776
Gender Female
Enumeration Date 04/20/2015
Last Updated 04/20/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
10700 SW BEAVERTON HILLSDALE HWY
BLD 3 STE 636
BEAVERTON OR, 97005-3019, US
Phone (503) 430-5870
Fax
Business Location
10700 SW BEAVERTON HILLSDALE HWY
BLD 3 STE 636
BEAVERTON OR, 97005-3019, US
Phone (503) 430-5870
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State Oregon
License Number 113066
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According to our database, Melissa Shockman COUNSELING INTERN NPI is 1053708776, taxonomy code is 101YM0800X and license number is 113066, license state is located at Oregon. Melissa Shockman COUNSELING INTERN physically located at 10700 Sw Beaverton Hillsdale Hwy, Beaverton OR, 97005-3019. NPI Number Melissa Shockman COUNSELING INTERN has the Individual type.

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1053708776 NPI number is provided on an as is basis without warranty of any kind. 1053708776 is maintained by the National Plan & Provider Enumeration System. The contents of Melissa Shockman COUNSELING INTERN are for informational purposes only.