Individual
SHALAINE JOY MISTRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20500 SE HIGHWAY 212, DAMASCUS, OR 97089-7254
(503) 433-3996
Mailing address
28980 SE K W ANDERSON RD, GRESHAM, OR 97080-0019
(503) 880-0136
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7632
OR
Other
Enumeration date
05/16/2019
Last updated
07/21/2026
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