Organization
I AM SHOOK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN SHOOK (MANAGER)
(626) 315-5799
Entity
Organization
Contact information
Practice address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(503) 272-1113
Mailing address
PO BOX 17091, PORTLAND, OR 97217-0091
(503) 272-1113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/15/2026
Last updated
08/15/2026
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