SHANAKO DEVOLL

PORTLAND, OR
NPI1316254022
Other NameS. DEVOLL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  L7423)
Additional Taxonomies101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  05-03-01)
171M00000X Case Manager/Care Coordinator
Enumeration Date2010-09-02
Last Update Date2023-04-27
Business Address
SHANAKO DEVOLL CADC I, QMHA
2450 SE BELMONT ST
PORTLAND, OR 97214-2821
Phone number: 503-887-6255
Mailing Address
SHANAKO DEVOLL CADC I, QMHA
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-200-3923