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Vivek Shantharam
Mental Health Counselor in Tigard, Oregon
NPI 1295345908

Vivek Shantharam is a Mental Health Counselor based in Tigard, OR and is specialized in Mental Health. Vivek Shantharam practices in Tigard, OR. The NPI Number for Vivek Shantharam is 1295345908 and holds a License No. (Oregon).

The current practice location address for Vivek Shantharam is 8915 Sw Center St, Tigard, OR and can be reached out via phone at 503-726-3690.

Location: 8915 Sw Center St, Tigard, OR, 97223-6307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295345908
Provider Name
Vivek Shantharam
Credential
Provider Entity Type
Individual
Gender
Male
Address
8915 Sw Center St, Tigard, OR, 97223-6307
Phone Number
503-726-3690
Fax Number
Provider Enumeration Date
08/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8915 Sw Center St
City
Tigard
State
Oregon
Zip
97223-6307
Phone Number
503-726-3690
Fax Number
person
Provider Business Mailing Address Details
Address
8915 Sw Center St
City
Tigard
State
Oregon
Zip
97223-6307
Phone Number
503-726-3690
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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