Individual
SHYANNE HOLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSWA
Contact information
Practice address
4224 NE HALSEY ST STE 335, PORTLAND, OR 97213-1568
(503) 922-6616
Mailing address
4224 NE HALSEY ST STE 335, PORTLAND, OR 97213-1568
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A14008
OR
Other
Enumeration date
12/13/2022
Last updated
04/24/2023
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