Individual
MR. JAMES SAMUEL SHOEMAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1130 NW 22ND AVE STE 220, PORTLAND, OR 97210-2969
(503) 413-8988
(503) 413-5629
Mailing address
1544 SE HAWTHORNE BLVD APT 3, PORTLAND, OR 97214-3976
(616) 822-1637
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L12412
OR
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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