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Individual

HOLLY A SHUMWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
630 B AVE STE 8, LAKE OSWEGO, OR 97034-2960
(503) 784-3489
Mailing address
630 B AVE STE 8, LAKE OSWEGO, OR 97034-2960
(503) 784-3489

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
C3259
OR

Other

Enumeration date
09/08/2010
Last updated
10/22/2013
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