Individual
DEMIE SHIFERAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 NE 5TH ST, MCMINNVILLE, OR 97128
(503) 434-7462
Mailing address
420 NE 5TH ST, MCMINNVILLE, OR 97128-4603
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
09/01/2017
Last updated
03/27/2018
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