Individual
PHOEBE SHABRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8416 N CHAUTAUQUA BLVD, PORTLAND, OR 97217-7283
(971) 292-1050
Mailing address
8915 SW CENTER ST, TIGARD, OR 97223-6307
(503) 726-3690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
03/16/2026
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