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Individual

PHOEBE SHEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
13007 NE GLISAN STREET, PORTLAND, OR 97230
(503) 215-8315
Mailing address
13007 NE GLISAN STREET, PORTLAND, OR 97230
(503) 215-8315

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
111840
MA
1041C0700X
Clinical Social Worker
Primary
5004
OR

Other

Enumeration date
02/14/2008
Last updated
09/11/2012
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