Individual
SHIANNE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCSP
Contact information
Practice address
501 N DIXON ST, PORTLAND, OR 97227-1876
(503) 916-3152
Mailing address
5110 SE DIVISION ST APT 7, PORTLAND, OR 97206-1474
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
529170
OR
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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