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Individual

DR. SHEA LOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
621 SW ALDER ST STE 520, PORTLAND, OR 97205-3620
(503) 494-4745
(503) 494-4747
Mailing address
621 SW ALDER STREET, STE 520, PORTLAND, OR 97205
(503) 494-4745
(503) 494-4747

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2604
OR
103TC0700X
Clinical Psychologist
Primary
2604
OR
103TC2200X
Clinical Child & Adolescent Psychologist
2604
OR
103TF0000X
Family Psychologist
2604
OR
103TP2701X
Group Psychotherapy Psychologist
2604
OR

Other

Enumeration date
04/21/2015
Last updated
07/21/2022
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