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Individual

ATHEN ZACHARY O'SHEA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 281-1166
Mailing address
3804 N HAIGHT AVE APT 19, PORTLAND, OR 97227-1339
(971) 275-7720

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
06/06/2024
Last updated
06/06/2024
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