Individual
SHELBY MASSINGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
7150 SW DARTMOUTH ST, TIGARD, OR 97223-7614
(503) 968-3421
(503) 477-4775
Mailing address
7150 SW DARTMOUTH ST, TIGARD, OR 97223-7614
(503) 968-3421
(503) 477-4775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L13961
OR
Other
Enumeration date
10/19/2018
Last updated
03/21/2023
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