Individual
SHANNON EHRLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SE 7TH AVE, PORTLAND, OR 97214-1200
(503) 235-0131
(503) 239-7390
Mailing address
200 SE 7TH AVE, PORTLAND, OR 97214-1200
(503) 235-0131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
12/26/2013
Last updated
08/24/2015
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