Individual
KETKI GIRISH SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8645 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 97015-6841
(503) 659-1694
(503) 659-8984
Mailing address
8645 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 97015-6841
(503) 659-1694
(503) 659-8984
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1909
OR
Other
Enumeration date
06/02/2009
Last updated
03/29/2022
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