Individual
SHIRLEY K SHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1701 E EVERGREEN BLVD, VANCOUVER, WA 98661-4289
(503) 998-6238
(360) 326-1651
Mailing address
703 NW 151ST ST, VANCOUVER, WA 98685-1753
(503) 998-6238
(360) 326-1651
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY00002736
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164936
PERSONAL MEDICARE
OR
Enumeration date
10/25/2006
Last updated
02/20/2012
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