Individual
DR. AMBREEN SHAHABUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239
(503) 494-2155
Mailing address
3720 SW BOND AVE UNIT 710, PORTLAND, OR 97239-4573
(775) 815-6691
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3159
OR
Other
Enumeration date
06/24/2011
Last updated
10/16/2019
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