Individual
SHANE CYPHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1095 25TH ST SE, SALEM, OR 97301-5049
(503) 363-2021
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
C1310
OR
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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