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Justin Shull, MA,LPC
Mental Health Counselor in Tigard, Oregon
NPI 1356531750

Justin Shull is a Mental Health Counselor based in Tigard, OR and is specialized in Mental Health. Justin Shull practices in Tigard, OR and has the professional credentials of MA,LPC. The NPI Number for Justin Shull is 1356531750 and holds a License No. C2060 (Oregon).

The current practice location address for Justin Shull is 11825 Sw Greenburg Rd Ste 208, Tigard, OR and can be reached out via phone at 503-608-0801.

Location: 11825 Sw Greenburg Rd Ste 208, Tigard, OR, 97223-6466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356531750
Provider Name
Justin Shull
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
11825 Sw Greenburg Rd Ste 208, Tigard, OR, 97223-6466
Phone Number
503-608-0801
Fax Number
Provider Enumeration Date
07/31/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164936 05 OR
institution
Provider Business Practice Location Address Details
Address
11825 Sw Greenburg Rd Ste 208
City
Tigard
State
Oregon
Zip
97223
Phone Number
503-608-0801
Fax Number
person
Provider Business Mailing Address Details
Address
11825 Sw Greenburg Rd Ste 208
City
Tigard
State
Oregon
Zip
97223
Phone Number
503-608-0801
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
C2060 (Oregon)
Definition
Definition to come...
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