Individual
JENI LYNNE SHILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2701 NW VAUGHN ST, PORTLAND, OR 97210-5311
(503) 499-5200
Mailing address
2701 NW VAUGHN ST, PORTLAND, OR 97210-5311
(503) 499-5200
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1740
OR
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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