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1619103892
KETKI GIRISH SHAH
CLACKAMAS, OR
NPI
1619103892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
(Licence: OR 1909)
Enumeration Date
2009-06-02
Last Update Date
2022-03-29
Business Address
KETKI GIRISH SHAH PhD
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015-6841
Phone number: 503-659-1694
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Mailing Address
KETKI GIRISH SHAH PhD
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015-6841
Phone number: 503-659-1694
Copy
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