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Individual

MAYTRONE SHEMARLAND CLAYBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA, MDIV

Contact information

Practice address
1427 SE 182ND AVE, PORTLAND, OR 97233-5008
(503) 761-6005
(503) 761-1434
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
(503) 239-8407

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
09/28/2021
Last updated
09/28/2021
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