Individual
MS. LURLENE NAFIZAH SHAMSUD-DIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CADC
Contact information
Practice address
4941 NE 17TH AVE, PORTLAND, OR 97211-5709
(503) 282-3296
(503) 282-3290
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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