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Individual

SARAH SHUTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW, CADC III

Contact information

Practice address
10260 SW GREENBURG RD FL 4, TIGARD, OR 97223-5500
(503) 298-5096
Mailing address
10260 SW GREENBURG RD FL 4, TIGARD, OR 97223-5500

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
L11895
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YM0800X
OR
Enumeration date
10/18/2019
Last updated
09/24/2025
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