Individual
TASHA LEE STUART-SHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW. QMHA
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(971) 419-6112
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(971) 419-6112
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/29/2024
Last updated
08/29/2024
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