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1821704511
SHANE SIMPSON
BEAVERTON, OR
NPI
1821704511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-01-25
Last Update Date
2023-01-25
Business Address
SHANE SIMPSON BS
10700 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005-3019
Phone number: 503-641-1475
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Mailing Address
SHANE SIMPSON BS
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number:
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