Individual
SHAYLIE LUCILLE PICKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
738 NE DAVIS ST, PORTLAND, OR 97232-2931
(503) 542-4603
(503) 233-6093
Mailing address
4256 NE 8TH ST, GRESHAM, OR 97030-4752
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/02/2022
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