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1700187648
PETER SHORE
PORTLAND, OR
NPI
1700187648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: WA PY60116196)
Enumeration Date
2010-11-09
Last Update Date
2010-11-09
Business Address
Dr. PETER SHORE Psy.D.
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
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Mailing Address
Dr. PETER SHORE Psy.D.
PO BOX 12444
PORTLAND, OR 97212-0444
Phone number: 503-704-1000
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