person
Annette Urban Shore, MA
Mental Health Counselor in Portland, Oregon
NPI 1164544284

Annette Urban Shore is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Annette Urban Shore practices in Portland, OR and has the professional credentials of MA. The NPI Number for Annette Urban Shore is 1164544284 and holds a License No. C1596 (Oregon).

The current practice location address for Annette Urban Shore is 3434 Sw Kelly Ave, Portland, OR and can be reached out via phone at 503-222-1807 and via fax at 503-220-5041.

Location: 3434 Sw Kelly Ave, Portland, OR, 97239-4630
person
Provider Profile Details
NPI Number
1164544284
Provider Name
Annette Urban Shore
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
3434 Sw Kelly Ave, Portland, OR, 97239-4630
Phone Number
503-222-1807
Fax Number
503-220-5041
Provider Enumeration Date
04/06/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3434 Sw Kelly Ave
City
State
Zip
97239-4630
Phone Number
503-222-1807
Fax Number
503-220-5041
person
Provider Business Mailing Address Details
Address
3434 Sw Kelly Ave
City
State
Zip
97239-4630
Phone Number
503-222-1807
Fax Number
503-220-5041
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
C1596 (Oregon)
Definition
Definition to come...
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