KIRK M SHEPARD

PORTLAND, OR
NPI1508110974
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C4136)
Enumeration Date2012-11-06
Last Update Date2016-05-19
Business Address
-- KIRK M SHEPARD LPC
2100 NE BROADWAY #333
PORTLAND, OR 97232
Phone number: 503-498-8102
Mailing Address
-- KIRK M SHEPARD LPC
2100 NE BROADWAY #333
PORTLAND, OR 97232
Phone number: 503-498-8102
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