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1790892651
SHELLY J COWAN
PORTLAND, OR
NPI
1790892651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR L3644)
Enumeration Date
2006-08-24
Last Update Date
2007-07-08
Business Address
Mrs. SHELLY J COWAN LCSW
3710 SW US VETERANS HOSPITAL ROAD PORTLAND VA MEDICAL CENTER
PORTLAND, OR 97239
Phone number: 503-220-8262
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Mailing Address
Mrs. SHELLY J COWAN LCSW
19417 SE 30TH ST
CAMAS, WA 98607-9437
Phone number: 360-954-5452
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