NICOLE SHAW

PORTLAND, OR
NPI1801253703
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2016-01-22
Last Update Date2016-01-22
Business Address
-- NICOLE SHAW
847 NE 19TH AVE
PORTLAND, OR 97232
Phone number: 503-238-0769
Mailing Address
-- NICOLE SHAW
PO BOX 8459
PORTLAND, OR 97207
Phone number:
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