Individual
DR. SHARON BAST GAVORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
14619 NE 82ND AVE, VANCOUVER, WA 98662-1057
(503) 636-4333
Mailing address
14619 NE 82ND AVE, VANCOUVER, WA 98662-1057
(503) 636-4333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1373
OR
103TC0700X
Clinical Psychologist
Primary
TE00003919
WA
Other
Enumeration date
12/01/2006
Last updated
03/07/2008
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