Individual
SHANA SWARTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 SE BELMONT ST, PORTLAND, OR 97214-2916
(541) 554-7924
Mailing address
5216 SW 52ND AVE, PORTLAND, OR 97221-1825
(541) 554-7924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-3255
OR
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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