Individual
SHAZNIN DARUWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214
(503) 919-8673
Mailing address
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-3216
(503) 231-7480
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2520
OR
Other
Enumeration date
02/27/2018
Last updated
07/24/2018
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