Individual
SHAURI BUNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1942 NW KEARNEY ST STE 30, PORTLAND, OR 97209-1465
(503) 701-2903
Mailing address
1942 NW KEARNEY ST STE 30, PORTLAND, OR 97209-1465
(503) 701-2903
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2001
OR
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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