Individual
TAWNYA SHOPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC II, QMHA-R
Contact information
Practice address
34499 SW GRAHAMS FERRY RD, WILSONVILLE, OR 97070
(503) 706-7523
(503) 570-6522
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/12/2018
Last updated
11/30/2021
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