JOHN REZENDE-SHALOM

PORTLAND, OR
NPI1699437806
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  21-QMHA-R-1569)
Enumeration Date2021-10-06
Last Update Date2021-10-06
Business Address
JOHN REZENDE-SHALOM
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-228-7619
Mailing Address
JOHN REZENDE-SHALOM
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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