SHANE SIMPSON

BEAVERTON, OR
NPI1821704511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-01-25
Last Update Date2023-01-25
Business Address
SHANE SIMPSON BS
10700 SW BEAVERTON HILLSDALE HWY
BEAVERTON, OR 97005-3019
Phone number: 503-641-1475
Mailing Address
SHANE SIMPSON BS
5415 SW WESTGATE DR
PORTLAND, OR 97221-2409
Phone number: